Mississippi State Department of Health
NPI #1679558514 in Leakesville, Mississippi
Provider Information
- NPI Number
- 1679558514
- Entity Type
- Organization
- Organization Name
- Mississippi State Department of Health
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Jul 14, 2008
Practice Location
- Address
- 503 MCINNIS AVE
- City
- Leakesville
- State
- Mississippi
- ZIP Code
- 39451-0489
- Phone
- (601) 394-2694
Authorized Official
- Name
- MRS. MELANIE BOWMAN, RN
- Title
- DIRECTOR OF HOME HEALTH
- Phone
- (601) 576-7853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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