NPI: 1497144265 · LOUISVILLE, MS 39339 · Administrator Registered Nurse · NPI assigned 01/16/2015
| Authorized Official | EZEM, BEATRICE (CEO) |
| NPI Enumeration Date | 01/16/2015 |
Other providers sharing the same authorized official: EZEM, BEATRICE
| Provider | City | State | Total Paid |
|---|---|---|---|
| EMMANUEL RIDGE COMMUNITY SERVICE ORGANIZATION | FLORENCE | MS | $138K |
| EMMANUEL RIDGE HOME CARE AGENCY INC | FLORENCE | MS | $111K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 46 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5100 | Day care services, adult; per 15 minutes | 46 | 24 | $27K |