OrganizationActive
Statewide Healthcare Services, LLC
NPI 1205964178 · Private Vehicle · Jackson, MS
Provider details
- NPI number
- 1205964178
- Entity type
- Organization
- Primary specialty
- Private VehicleTransportation Services
- Authorized official
- Joseph Bonaccorsi, Chief Legal Officer
Practice location
3829 I-55 North
Jackson, MS 39211
Phone: (800) 898-0981
Fax: (601) 982-7462
Mailing address
33 S State St Fl 5
Chicago, IL 60603-2804
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2022-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.