EMMANUEL RIDGE OF LOUISVILLE MS INC

PACE Provider Organization

NPI: 1497144265Organization

Specialties, Licenses & Credentials

Administrator Registered Nurse

Registered Nurse — Administrator

Code: 163WA2000X

R815521(MS)

In Home Supportive Care Agency

In Home Supportive Care

Code: 253Z00000X

03630719(MS)

PACE Provider OrganizationPrimary

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Code: 251T00000X

08752218(MS)

Contact & Hours

Address: 803 W MAIN ST
LOUISVILLE, MS 39339
Phone: (662) 705-5031

Quick Facts

NPI: 1497144265
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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