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Emmanuel Ridge of Dekalb Inc — NPI 1992191084, Dekalb, MS | NPI Central

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NPI 1992191084

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Emmanuel Ridge of Dekalb Inc

NPI 1992191084 · Adult Day Care Clinic/Center · Dekalb, MS

Provider details

NPI number: 1992191084
Entity type: Organization
Primary specialty: Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Beatrice Ezem, Ceo(601) 927-9839
License: R815521 (MS)

Specialties & taxonomies

Adult Day Care Clinic/CenterPrimary261QA0600XLicense 08752218 (MS)
Ambulatory Health Care Facilities
Administrator Registered Nurse163WA2000XLicense R815521 (MS)
Nursing Service Providers
PACE Provider Organization251T00000XLicense 08752218 (MS)
Agencies
In Home Supportive Care Agency253Z00000XLicense 03630719 (MS)
Agencies

Practice location

14632 Hwy 39n/16e

Dekalb, MS 39328

Phone: (601) 927-9839

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 1522

Florence, MS 39073-1522

Other names (DBA / former)

Doing business as: Adult Daycare Health Services

Registry dates

Enumerated: 2015-04-15
Last updated: 2015-04-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.