1992191084 EMMANUEL RIDGE OF DEKALB INC

Adult Day Care Clinic/Center

Active

Basic Information

Organization Name
EMMANUEL RIDGE OF DEKALB INC
Enumeration Date
April 15, 2015
Last Update
April 15, 2015
Authorized Official
MS. BEATRICE EZEM RN,CM,CLNC
CEO
Phone: (601) 927-9839

Practice Location

Address
14632 HWY 39N/16E
DEKALB, MS 39328
Phone
(601) 927-9839

Mailing Address

Address
PO BOX 1522
FLORENCE, MS 390731522
Phone
(601) 927-9839
Fax
(769) 251-0257

Specialties & Taxonomies

Specialty Code Classification License State Primary
Administrator Registered Nurse
Administrator
163WA2000X Registered Nurse R815521 MS No
PACE Provider Organization
251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 08752218 MS No
In Home Supportive Care Agency
253Z00000X In Home Supportive Care 03630719 MS No
Adult Day Care Clinic/Center
Adult Day Care
261QA0600X Clinic/Center 08752218 MS Primary

Other Identifiers

Identifier Type State Issuer
08752218 05 MS N/A

Frequently Asked Questions

What is EMMANUEL RIDGE OF DEKALB INC's NPI number?
EMMANUEL RIDGE OF DEKALB INC's NPI number is 1992191084.
Which doctor has NPI number 1992191084?
The doctor with NPI number 1992191084 is EMMANUEL RIDGE OF DEKALB INC.
What is EMMANUEL RIDGE OF DEKALB INC's practice address?
EMMANUEL RIDGE OF DEKALB INC's practice address is 14632 HWY 39N/16E, DEKALB, MS, 39328.
Which doctor practices at 14632 HWY 39N/16E, DEKALB, MS, 39328?
EMMANUEL RIDGE OF DEKALB INC practices at 14632 HWY 39N/16E, DEKALB, MS, 39328.
What is EMMANUEL RIDGE OF DEKALB INC's mailing address?
EMMANUEL RIDGE OF DEKALB INC's mailing address is PO BOX 1522, FLORENCE, MS, 390731522.
What is EMMANUEL RIDGE OF DEKALB INC's phone number?
EMMANUEL RIDGE OF DEKALB INC's phone number is (601) 927-9839.
Who is (601) 927-9839?
(601) 927-9839 is the phone number for EMMANUEL RIDGE OF DEKALB INC.
What is EMMANUEL RIDGE OF DEKALB INC's specialty?
EMMANUEL RIDGE OF DEKALB INC's specialty is Adult Day Care Clinic/Center.
What type of doctor is EMMANUEL RIDGE OF DEKALB INC?
EMMANUEL RIDGE OF DEKALB INC is a Adult Day Care Clinic/Center.
Is EMMANUEL RIDGE OF DEKALB INC a Adult Day Care?
Yes, EMMANUEL RIDGE OF DEKALB INC is a Adult Day Care.
Is EMMANUEL RIDGE OF DEKALB INC still practicing?
Yes, EMMANUEL RIDGE OF DEKALB INC is currently practicing.
Is EMMANUEL RIDGE OF DEKALB INC accepting new patients?
EMMANUEL RIDGE OF DEKALB INC may be accepting new patients. Please call their office at (601) 927-9839 to inquire about availability.
Is NPI 1992191084 still active?
Yes, NPI 1992191084 is currently active.
Where does EMMANUEL RIDGE OF DEKALB INC practice?
EMMANUEL RIDGE OF DEKALB INC practices in DEKALB, MS.