National Provider Identifier Database

PROVIDENCE HEALTHCARE OF MS
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

PROVIDENCE HEALTHCARE OF MS
6735 I-55 SOUTH FRONTAGE ROAD
SUITE 2-A
BYRAM, MS39272
Phone: 601-720-5460
Fax: 601-878-0687
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTHCARE OF MS

NPI Number 1144665738
Legal business name
LBN
PROVIDENCE HEALTHCARE OF MS
Authorized official PATRICH MANN - (DIRECTOR/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2013
Last updated 08/27/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: R866849

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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