Caldonia Livingston Satcher

Individual provider Active NPI Attendant Care Provider · Heidelberg, MS

NPI 1114577400 · NPPES record last updated Sep 18, 2019

Key facts

NPI
1114577400
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
3840 Highway 528
Heidelberg, MS 39439-3370
Phone
(601) 935-0987
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

3840 Highway 528
Heidelberg, MS 39439-3370

Mailing address

3840 Highway 528
Heidelberg, MS 39439-3370

Other providers in Heidelberg, MS

All providers in Heidelberg, MS · Attendant Care Provider in Mississippi

Sources for this page

Verify at the official NPI Registry.