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Beverly C Johnson, MSW
Community Based Hospice Care Agency in Mound Bayou, Mississippi
NPI 1891137873

Beverly C Johnson is a Community Based Hospice Care Agency based in Mound Bayou, MS. Beverly C Johnson practices in Mound Bayou, MS and has the professional credentials of MSW. The NPI Number for Beverly C Johnson is 1891137873 and holds a License No. MS68NHC (Mississippi).

The current practice location address for Beverly C Johnson is 116 S Edward Avenue, Mound Bayou, MS and can be reached out via phone at 662-719-2005.

Location: 116 S Edward Avenue, Mound Bayou, MS, 38762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891137873
Provider Name
Beverly C Johnson
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
116 S Edward Avenue, Mound Bayou, MS, 38762
Phone Number
662-719-2005
Fax Number
Provider Enumeration Date
07/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 S Edward Avenue
City
Mound Bayou
State
Mississippi
Zip
38762
Phone Number
662-719-2005
Fax Number
person
Provider Business Mailing Address Details
Address
116 S Edward Avenue
City
Mound Bayou
State
Mississippi
Zip
38762
Phone Number
662-719-2005
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
MS68NHC (Mississippi)
Definition
Definition to come...
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