Christian Fellowship Home

LBN: Christian Fellowship Home
Christian Fellowship Home is an health care organization with primary practice located at 918 Parkway Dr , Wiggins MS 39577-8750. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Christian Fellowship Home can be contacted via phone (601) 928-1871, or through Boone, Terrell Berry via phone (601) 928-1871.

Contact Information

Primary practice address
918 Parkway Dr Wiggins MS 39577-8750
Phone: (601) 928-1871
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boone, Terrell Berry Licensed Practical Nurse (LPN)
Phone: (601) 928-1871

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1063 Mississippi

Profile Details

NPI number 1689933764
LBN Legal business name Christian Fellowship Home
DBA Doing business as
Authorized official Boone, Terrell Berry Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2012
Last updated May 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689933764 NPPES
Mississippi MEDICAID 1063

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