Emmanuel Ridge Senior Day Care Center

LBN: Emmanuel Ridge Community Service Organization
Emmanuel Ridge Senior Day Care Center is an health care organization with primary practice located at 2073 Hwy 49 South , Florence MS 39073-1944. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Emmanuel Ridge Community Service Organization can be contacted via phone (601) 709-3304, or through Ezem, Beatrice A via phone (601) 927-9839.

Contact Information

Primary practice address
2073 Hwy 49 South Florence MS 39073-1944
Phone: (601) 709-3304
Fax: (601) 709-3307
Website:
Map and Directions
Authorized official contact:
Name: Ezem, Beatrice A RN, CM, CLNC
Phone: (601) 927-9839

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1245415645
LBN Legal business name Emmanuel Ridge Community Service Organization
DBA Doing business as Emmanuel Ridge Senior Day Care Center
Authorized official Ezem, Beatrice A RN, CM, CLNC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245415645 NPPES
Mississippi MEDICAID 08752218

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