institution
Nine Palms 2 Llc
Home Health Agency in Gulfport, Mississippi
NPI 1104871094

Nine Palms 2 Llc is a Home Health Agency based in Baton Rouge, MS. Nine Palms 2 Llc practices in Gulfport, MS. The NPI Number for Nine Palms 2 Llc is 1104871094 and holds a License No. 12384 (Mississippi).

The current practice location address for Nine Palms 2 Llc is 11010 Highway 49, Gulfport, MS and can be reached out via phone at 228-831-9821 and via fax at 228-831-9826. You can also correspond with Nine Palms 2 Llc through the mailing address at 3854 AMERICAN WAY, BATON ROUGE, LA - 70816-4013 (mailing address contact number: 225-292-2031).

Location: 11010 Highway 49, Gulfport, MS, 70816-4013
institution
Provider Profile Details
NPI Number
1104871094
Provider Name
Nine Palms 2 Llc
Credential
Provider Entity Type
Organization
Address
11010 Highway 49, Gulfport, MS, 70816-4013
Phone Number
228-831-9821
Fax Number
228-831-9826
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000070508 01 MS BC BS OF MS FED
000070507 01 MS BC BS OF MS
00770616 05 MS
000070508 01 MS BC BS OF MS
000070507 01 MS ADVANCED HEALTH SYSTEMS
000070508 01 MS ADVANCED HEALTH SYSTEMS
institution
Provider Business Practice Location Address Details
Address
11010 Highway 49
City
State
Zip
39503-4190
Phone Number
228-831-9821
Fax Number
228-831-9826
person
Provider Business Mailing Address Details
Address
3854 American Way
City
State
Zip
70816-4013
Phone Number
225-292-2031
Fax Number
225-295-9678
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
12384 (Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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