Organization · NPI-2

Benevolent Living Services

Home Health · Columbus, MS

NPI number1083153928
StatusActive
Last updated in NPPESFeb 13, 2017

Details

NPI
1083153928
Entity type
Organization (NPI-2)
Legal business name
Benevolent Living Services
Organization subpart
Yes
Enumeration date
Feb 13, 2017
Last updated
Feb 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–MSYes

Practice location

403 Holly Hills Rd
Columbus, MS 39705-1234

Phone 662-889-3659

Mailing address

403 Holly Hills Rd
Columbus, MS 39705-1234

Phone 662-889-3659

Authorized official

Elizabeth Bradford
Owner
6628893659

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