NPI 1104871094

Nine Palms 2 LLC

Organisation Home Health Agency Gulfport, MS

Practice location

Address: 11010 Highway 49 STE 4, Gulfport, MS 39503-4190
Phone: (228) 831-9821
Fax: (228) 831-9826
Mailing address: 3854 American Way Suite a, Baton Rouge, LA 70816-4013

Authorised official

Name: Paul Kusserow
Title: President
Phone: (225) 292-2031

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 12384 (MS)

Other Home Health providers in Mississippi →

Registry record

NPI: 1104871094
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 6 Sep 2017

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.