Provider Demographics
NPI:1487231528
Name:GODS BLESSING HOME HEALTH
Entity Type:Organization
Organization Name:GODS BLESSING HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-480-7046
Mailing Address - Street 1:3140 HIGHWAY 528
Mailing Address - Street 2:
Mailing Address - City:HEIDELBERG
Mailing Address - State:MS
Mailing Address - Zip Code:39439-3686
Mailing Address - Country:US
Mailing Address - Phone:601-480-7046
Mailing Address - Fax:
Practice Address - Street 1:3140 HIGHWAY 528
Practice Address - Street 2:
Practice Address - City:HEIDELBERG
Practice Address - State:MS
Practice Address - Zip Code:39439-3686
Practice Address - Country:US
Practice Address - Phone:601-480-7046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health