OrganizationActive
Health Care Medical
NPI 1104201789 · Home Infusion Agency · Ridgeland, MS
Provider details
- NPI number
- 1104201789
- Entity type
- Organization
- Primary specialty
- Home Infusion AgencyAgencies
- Organization subpart
- No
- Authorized official
- Valerie Harden, President(601) 420-0064
- License
- 05882/2.5 (MS)
Specialties & taxonomies
Agencies
Practice location
625 S Pear Orchard Rd
Suite a
Ridgeland, MS 39157-4836
Phone: (601) 420-0064
Approximate (ZIP-level) locationGet directions
Mailing address
625 S Pear Orchard Rd
Ridgeland, MS 39157-4836
Registry dates
- Enumerated
- 2015-07-24
- Last updated
- 2015-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.