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Ms. Kimberly Michelle Dye
Home Health Agency in Clarksdale, Mississippi
NPI 1700304151

Kimberly Michelle Dye is a Home Health Agency based in Clarksdale, MS. Kimberly Michelle Dye practices in Clarksdale, MS. The NPI Number for Kimberly Michelle Dye is 1700304151 and holds a License No. (Mississippi).

The current practice location address for Kimberly Michelle Dye is 1015 Sasse St, Clarksdale, MS and can be reached out via phone at 662-645-9050. You can also correspond with Kimberly Michelle Dye through the mailing address at 110 YAZOO AVE STE 220, CLARKSDALE, MS - 38614-4329 (mailing address contact number: ).

Location: 1015 Sasse St, Clarksdale, MS, 38614-4329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700304151
Provider Name
Kimberly Michelle Dye
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 Sasse St, Clarksdale, MS, 38614-4329
Phone Number
662-645-9050
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-1109893 05 MS
777666888 05 MS
institution
Provider Business Practice Location Address Details
Address
1015 Sasse St
City
Clarksdale
State
Mississippi
Zip
38614-7533
Phone Number
662-645-9050
Fax Number
person
Provider Business Mailing Address Details
Address
110 Yazoo Ave Ste 220
City
Clarksdale
State
Mississippi
Zip
38614-4329
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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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