OrganizationActive
Emmanuel Ridge of Louisville Ms Inc
NPI 1497144265 · PACE Provider Organization · Louisville, MS
Provider details
- NPI number
- 1497144265
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Beatrice Ezem, Ceo(601) 927-9839
- License
- R815521 (MS)
Specialties & taxonomies
Agencies
Nursing Service Providers
Agencies
Practice location
803 W Main St
Louisville, MS 39339-2539
Phone: (662) 705-5031
Fax: (662) 705-5034
Approximate (ZIP-level) locationGet directions
Mailing address
750 Boling St
Jackson, MS 39209-2652
Other names (DBA / former)
- Doing business as
- Adult Day Health Services
Registry dates
- Enumerated
- 2015-01-16
- Last updated
- 2015-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.