- Enrollment id
- O20040601000117
- Enrollment state
- MS
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1154304491
- Multiple npi flag
- N
- Ccn
- 257101
- Associate id
- 7214847664
- Organization name
- HOME HEALTH CARE SERVICES, INC.
- Doing business as name
- ADORATION HOME HEALTH AND HOSPICE CARE MISSISSIPPI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 115 S MARTIN LUTHER KING JR DR
- City
- INDIANOLA
- State
- MS
- Zip code
- 387512698