EMMANUEL RIDGE OF LOUISVILLE MS INC

PACE Provider Organization · LOUISVILLE, MS

Organization Active NPI 1497144265

Taxonomy & licensure

Specialty	Code	Primary	License	State
PACE Provider Organization	251T00000X	✓	08752218	MS
Administrator Registered Nurse	163WA2000X		R815521	MS
In Home Supportive Care Agency	253Z00000X		03630719	MS

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See all PACE Provider Organization providers in Mississippi →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

EMMANUEL RIDGE OF LOUISVILLE MS INC — NPI 1497144265