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Mable C Purnell, CCMA,MEDICALDATA
Home Health Agency in Jackson, Mississippi
NPI 1720676422

Mable C Purnell is a Home Health Agency based in Bolton, MS. Mable C Purnell practices in Jackson, MS and has the professional credentials of CCMA,MEDICALDATA. The NPI Number for Mable C Purnell is 1720676422 and holds a License No. Z3X2A4K5 (Mississippi).

The current practice location address for Mable C Purnell is 2460 Terry Rd Ste 350, Jackson, MS and can be reached out via phone at 601-946-3926.

Location: 2460 Terry Rd Ste 350, Jackson, MS, 39041-9471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720676422
Provider Name
Mable C Purnell
Credential
CCMA,MEDICALDATA
Provider Entity Type
Individual
Gender
Female
Address
2460 Terry Rd Ste 350, Jackson, MS, 39041-9471
Phone Number
601-946-3926
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-5046661 01 MS PRIVATE INSURANCE
84-5046661 05 MS
institution
Provider Business Practice Location Address Details
Address
2460 Terry Rd Ste 350
City
Jackson
State
Mississippi
Zip
39204-5792
Phone Number
601-946-3926
Fax Number
person
Provider Business Mailing Address Details
Address
2460 Terry Rd Ste 350
City
Jackson
State
Mississippi
Zip
39204-5792
Phone Number
601-946-3926
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
Z3X2A4K5 (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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