Emmanuel Ridge of Louisville Ms INC
NPI #1497144265 in Louisville, Mississippi
Provider Information
- NPI Number
- 1497144265
- Entity Type
- Organization
- Organization Name
- Emmanuel Ridge of Louisville Ms INC
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Jan 16, 2015
Practice Location
- Address
- 803 W MAIN ST
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-2539
- Phone
- (662) 705-5031
Authorized Official
- Name
- MS. BEATRICE A EZEM, RN,CM,CLNC
- Title
- CEO
- Phone
- (601) 927-9839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
| In Home Supportive Care |
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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