EMMANUEL RIDGE OF DEKALB INC

DEKALB, MS
NPI1992191084
Doing Business AsADULT DAYCARE HEALTH SERVICES
Entity TypeOrganization
Authorized ContactBEATRICE EZEM
CEO
601-927-9839
Organization Subpart ?No
Primary Taxonomy261QA0600X Clinic/Center Adult Day Care
(Licence: MS  08752218)
Additional Taxonomies163WA2000X Registered Nurse Administrator
(Licence: MS  R815521)
251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
(Licence: MS  08752218)
253Z00000X In Home Supportive Care
(Licence: MS  03630719)
Enumeration Date2015-04-15
Last Update Date2015-04-15
Business Address
EMMANUEL RIDGE OF DEKALB INC
14632 HWY 39N/16E
DEKALB, MS 39328
Phone number: 601-927-9839
Mailing Address
EMMANUEL RIDGE OF DEKALB INC
PO BOX 1522
FLORENCE, MS 39073-1522
Phone number: 601-927-9839