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EMMANUEL RIDGE OF LOUISVILLE MS INC

803 W MAIN ST, LOUISVILLE, MS 39339

(662) 705-5031

PACE Provider Organization

Agency Information

Agency Name
EMMANUEL RIDGE OF LOUISVILLE MS INC
Service Type
PACE Provider Organization
Address
803 W MAIN ST, LOUISVILLE, MS 39339
Phone Number
(662) 705-5031
NPI Number
1497144265
Authorized Official
BEATRICE EZEM (CEO)
Enumeration Date
2015-01-16

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