- Enrollment id
- O20081008000249
- Enrollment state
- MS
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1275674533
- Multiple npi flag
- N
- Ccn
- 257129
- Associate id
- 2961593306
- Organization name
- STA-HOME HEALTH AGENCY OF CARTHAGE, INC
- Doing business as name
- ACCENTCARE HOME HEALTH OF CARTHAGE
- Incorporation date
- 1976-10-01
- Incorporation state
- MS
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 616 HIGHWAY 35 S
- City
- CARTHAGE
- State
- MS
- Zip code
- 390515804