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Home Community Base Waiver - Ess
Attendant Care Provider in Ellisville, Mississippi
NPI 1992865653

Home Community Base Waiver - Ess is an Attendant Care Provider based in Ellisville, MS and is specialized in Attendant Care Provider. Home Community Base Waiver - Ess practices in Ellisville, MS. The NPI Number for Home Community Base Waiver - Ess is 1992865653 and holds a License No. ESS-BMR (Mississippi).

The current practice location address for Home Community Base Waiver - Ess is 1101 Highway 11 S, Ellisville, MS and can be reached out via phone at 601-477-9384 and via fax at 601-477-5700.

Location: 1101 Highway 11 S, Ellisville, MS, 39437-4443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992865653
Provider Name
Home Community Base Waiver - Ess
Credential
Provider Entity Type
Organization
Address
1101 Highway 11 S, Ellisville, MS, 39437-4443
Phone Number
601-477-9384
Fax Number
601-477-5700
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770052 05 MS
institution
Provider Business Practice Location Address Details
Address
1101 Highway 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-9384
Fax Number
601-477-5700
person
Provider Business Mailing Address Details
Address
1101 Highway 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-9384
Fax Number
601-477-5700
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
ESS-BMR (Mississippi)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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