Organization Name: | B1 NURSING CARE |
NPI Number: | 1922385137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAKEBA C WHITE (OWNER/DIRECTOR) |
Mailing Address: | 208 Boxwood Cir Brandon |
State: | MS US |
Postal Code: | 390478006 |
Phone Number: | 6013075888 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |