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Contact Information

EBENEZER HOME CARE LLC
1189 MAIN ST
TUNICA, MS38676
 Phone: 662-363-0102
 Fax: 662-363-0103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for EBENEZER HOME CARE LLC · (Female)

NPI # 1104074228
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2008
Last updated 09/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 07988034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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