NPI 1144665738

Providence Healthcare of Ms

Organisation Nursing Care Agency Byram, MS

Practice location

Address: 6735 I-55 South Frontage Road Suite 2-A, Byram, MS 39272
Phone: (601) 720-5460
Fax: (601) 878-0687
Mailing address: PO Box 502, Terry, MS 39170-0502

Authorised official

Name: Patrich Mann
Title: Director/Manager
Phone: (601) 720-5460

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence R866849 (MS)

Other Nursing Care providers in Mississippi →

Registry record

NPI: 1144665738
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 27 Aug 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.