institution
Sta-home Health Agency Of Jackson, Inc.
Home Health Agency in Clinton, Mississippi
NPI 1356482749

Sta-home Health Agency Of Jackson, Inc. is a Home Health Agency based in Dallas, MS. Sta-home Health Agency Of Jackson, Inc. practices in Clinton, MS. The NPI Number for Sta-home Health Agency Of Jackson, Inc. is 1356482749 and holds a License No. 11195 (Mississippi).

The current practice location address for Sta-home Health Agency Of Jackson, Inc. is 130 Fairmont St Ste A, Clinton, MS and can be reached out via phone at 601-961-4367. You can also correspond with Sta-home Health Agency Of Jackson, Inc. through the mailing address at 17855 DALLAS PKWY STE 200, DALLAS, TX - 75287-6857 (mailing address contact number: 972-201-3819).

Location: 130 Fairmont St Ste A, Clinton, MS, 75287-6857
institution
Provider Profile Details
NPI Number
1356482749
Provider Name
Sta-home Health Agency Of Jackson, Inc.
Credential
Provider Entity Type
Organization
Address
130 Fairmont St Ste A, Clinton, MS, 75287-6857
Phone Number
601-961-4367
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770108 05 MS
institution
Provider Business Practice Location Address Details
Address
130 Fairmont St Ste A
City
State
Zip
39056
Phone Number
601-961-4367
Fax Number
person
Provider Business Mailing Address Details
Address
130 Fairmont St Ste A
City
State
Zip
39056
Phone Number
601-961-4367
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
11195 (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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