Organization · NPI-2

Infinity Enterprise LLC

Registered Nurse · Columbus, MS

NPI number1124547542
StatusActive
Last updated in NPPESSep 18, 2017

Details

NPI
1124547542
Entity type
Organization (NPI-2)
Legal business name
Infinity Enterprise LLC
Organization subpart
No
Enumeration date
Sep 18, 2017
Last updated
Sep 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseR877178MSYes
163W00000X Registered Nurse1154241AL
251J00000X Nursing Care––
253Z00000X In Home Supportive Care––
343900000X Non-emergency Medical Transport (VAN)––
385HR2055X Respite Care, Respite Care, Mental Illness, Child––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child––

Practice location

64 First Colony Cir
Columbus, MS 39702-7900

Phone 662-435-5404

Mailing address

64 First Colony Cir
Columbus, MS 39702-7900

Phone 662-435-5404

Authorized official

Roshunica Rochelle Murray
Owner/Ceo
6624355404

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