NPI 1104201789

Health Care Medical

Organisation Home Infusion Agency Ridgeland, MS

Practice location

Address: 625 S Pear Orchard Rd Suite a, Ridgeland, MS 39157-4836
Phone: (601) 420-0064

Authorised official

Name: Valerie Harden
Title: President
Phone: (601) 420-0064

Registered specialties

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X Licence 05882/2.5 (MS)

Other Home Infusion providers in Mississippi →

Registry record

NPI: 1104201789
Entity type: Organization
NPI issued: 24 Jul 2015
Record last updated: 24 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.