EMMANUEL RIDGE OF LOUISVILLE MS INC

LOUISVILLE, MS
NPI1497144265
Doing Business AsADULT DAY HEALTH SERVICES
Entity TypeOrganization
Authorized ContactBEATRICE A EZEM
CEO
601-927-9839
Organization Subpart ?No
Primary Taxonomy251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
(Licence: MS  08752218)
Additional Taxonomies163WA2000X Registered Nurse Administrator
(Licence: MS  R815521)
253Z00000X In Home Supportive Care
(Licence: MS  03630719)
Enumeration Date2015-01-16
Last Update Date2015-01-16
Business Address
EMMANUEL RIDGE OF LOUISVILLE MS INC
803 W MAIN ST
LOUISVILLE, MS 39339-2539
Phone number: 662-705-5031
Mailing Address
EMMANUEL RIDGE OF LOUISVILLE MS INC
750 BOLING ST SUITE H
JACKSON, MS 39209-2652
Phone number: 769-233-7437