1497144265 EMMANUEL RIDGE OF LOUISVILLE MS INC
PACE Provider Organization
Active
Basic Information
- Organization Name
- EMMANUEL RIDGE OF LOUISVILLE MS INC
- Enumeration Date
- January 16, 2015
- Last Update
- January 16, 2015
- Authorized Official
- MS. BEATRICE A EZEM RN,CM,CLNC
CEO
Phone: (601) 927-9839
Practice Location
- Address
- 803 W MAIN ST
LOUISVILLE, MS 393392539 - Phone
- (662) 705-5031
- Fax
- (662) 705-5034
Mailing Address
- Address
- 750 BOLING ST
SUITE H
JACKSON, MS 392092652 - Phone
- (769) 233-7437
- Fax
- (769) 251-0257
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Administrator Registered Nurse Administrator | 163WA2000X | Registered Nurse | R815521 | MS | No |
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | 03630719 | MS | No |
| PACE Provider Organization | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 08752218 | MS | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08752218 | 05 | MS | N/A |
Frequently Asked Questions
What is EMMANUEL RIDGE OF LOUISVILLE MS INC's NPI number?
EMMANUEL RIDGE OF LOUISVILLE MS INC's NPI number is 1497144265.
Which doctor has NPI number 1497144265?
The doctor with NPI number 1497144265 is EMMANUEL RIDGE OF LOUISVILLE MS INC.
What is EMMANUEL RIDGE OF LOUISVILLE MS INC's practice address?
EMMANUEL RIDGE OF LOUISVILLE MS INC's practice address is 803 W MAIN ST, LOUISVILLE, MS, 393392539.
Which doctor practices at 803 W MAIN ST, LOUISVILLE, MS, 393392539?
EMMANUEL RIDGE OF LOUISVILLE MS INC practices at 803 W MAIN ST, LOUISVILLE, MS, 393392539.
What is EMMANUEL RIDGE OF LOUISVILLE MS INC's mailing address?
EMMANUEL RIDGE OF LOUISVILLE MS INC's mailing address is 750 BOLING ST, SUITE H, JACKSON, MS, 392092652.
What is EMMANUEL RIDGE OF LOUISVILLE MS INC's phone number?
EMMANUEL RIDGE OF LOUISVILLE MS INC's phone number is (662) 705-5031.
Who is (662) 705-5031?
(662) 705-5031 is the phone number for EMMANUEL RIDGE OF LOUISVILLE MS INC.
What is EMMANUEL RIDGE OF LOUISVILLE MS INC's specialty?
EMMANUEL RIDGE OF LOUISVILLE MS INC's specialty is PACE Provider Organization.
What type of doctor is EMMANUEL RIDGE OF LOUISVILLE MS INC?
EMMANUEL RIDGE OF LOUISVILLE MS INC is a PACE Provider Organization.
Is EMMANUEL RIDGE OF LOUISVILLE MS INC a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, EMMANUEL RIDGE OF LOUISVILLE MS INC is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is EMMANUEL RIDGE OF LOUISVILLE MS INC still practicing?
Yes, EMMANUEL RIDGE OF LOUISVILLE MS INC is currently practicing.
Is EMMANUEL RIDGE OF LOUISVILLE MS INC accepting new patients?
EMMANUEL RIDGE OF LOUISVILLE MS INC may be accepting new patients. Please call their office at (662) 705-5031 to inquire about availability.
Is NPI 1497144265 still active?
Yes, NPI 1497144265 is currently active.
Where does EMMANUEL RIDGE OF LOUISVILLE MS INC practice?
EMMANUEL RIDGE OF LOUISVILLE MS INC practices in LOUISVILLE, MS.