Home Community Base Waiver - Ess
Home Community Base Waiver - Ess is an Attendant Care Provider in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
1101 Highway 11 SEllisville, MS 39437-4443
Phone: (601) 477-9384
Fax: (601) 477-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X · Licence ESS-BMR (MS) |
|---|
Record details
| NPI number | 1992865653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzie Lassiter — Director Of Facility · (601) 477-9384 |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1101 Highway 11 S, Ellisville, MS 39437-4443 |