Brusha Home Care Service

Organization Active NPI Home Health Agency · Forest, MS

NPI 1992907182 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992907182
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
956 (MS)
Legal business name
BRUSHA HOME CARE SERVICE
Practice address
150 Willis Rd
Forest, MS 39074-9046
Phone
(601) 775-0264
NPI assigned
Jun 1, 2007
Organization subpart
No

Authorized official

Name
Beulah Patrick
Title
Owner
Phone
(601) 775-0264

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Brusha Home Care Service (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 956 MS Yes

Addresses

Primary practice location

150 Willis Rd
Forest, MS 39074-9046

Mailing address

150 Willis Rd
Forest, MS 39074-9046

Other providers in Forest, MS

All providers in Forest, MS · Home Health Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.