NPI 1891137873 · live from the CMS NPI Registry
Beverly C Johnson, MSW
Hospice Care, Community Based in Mound Bayou, MS. National Provider Identifier 1891137873, active.
NPI record
| NPI | 1891137873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 116 S Edward Avenue, Mound Bayou, MS 38762 |
| Practice phone | 662-719-2005 |
| Mailing address | 114 Edward Avenue, Suite B, Mound Bayou, MS 38762 |
| Enumerated | July 19, 2013 |
| Last updated | July 19, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | MS68NHC (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.