Organization Name: | BNB HEALTHCARE, LLC |
NPI Number: | 1821419052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD BLALACK (COO) |
Mailing Address: | 403 Towne Center Blvd Suite 102b Ridgeland |
State: | MS US |
Postal Code: | 391574843 |
Phone Number: | 6016053881 |
Fax Number: | 6016059208 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |