NPI 1750812392
Blue River Healthcare, INC
Practice location
- Address
- 2705 Clay St, Vicksburg, MS 39183-3130
- Phone
- (601) 218-7880
- Mailing address
- PO Box 820472, Vicksburg, MS 39182-0472
Authorised official
- Name
- Joyce Blue
- Title
- Ceo
- Phone
- (601) 218-7880
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1750812392
- Entity type
- Organization
- NPI issued
- 24 Mar 2017
- Record last updated
- 24 Mar 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.