Emmanuel Ridge of Louisville MS Inc
Emmanuel Ridge of Louisville MS Inc is an Administrator Registered Nurse in Louisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.
- Licensed in
- MS
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
803 W Main StLouisville, MS 39339-2539
Phone: (662) 705-5031
Fax: (662) 705-5034
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X · Licence 08752218 (MS) |
|---|---|
| Administrator Registered Nurse | Taxonomy 163WA2000X · Licence R815521 (MS) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X · Licence 03630719 (MS) |
Record details
| NPI number | 1497144265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beatrice Ezem — Ceo · (601) 927-9839 |
| Other names | Adult Day Health Services |
| NPI enumerated | January 16, 2015 |
| Last updated in NPPES | January 16, 2015 |
| Mailing address | 750 Boling St, Suite H, Jackson, MS 39209-2652 |