PROVIDENCE HEALTHCARE OF MS

BYRAM, MS
NPI1144665738
Entity TypeOrganization
Authorized ContactPATRICH MANN
Director/Manager
601-720-5460
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
(Licence: MS  R866849)
Enumeration Date2013-05-08
Last Update Date2015-08-27
Business Address
PROVIDENCE HEALTHCARE OF MS
6735 I-55 SOUTH FRONTAGE ROAD SUITE 2-A
BYRAM, MS 39272
Phone number: 601-720-5460
Mailing Address
PROVIDENCE HEALTHCARE OF MS
PO BOX 502
TERRY, MS 39170-0502
Phone number: 601-720-5460