| NPI | 1528243938 |
|---|---|
| Doing Business As | EMMANUEL RIDGE IN-HOME RESPITE CARE |
| Entity Type | Organization |
| Authorized Contact | BEATRICE A EZEM President/CEO 601-927-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MS 07123515) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |