Provider Demographics
NPI:1629897046
Name:EXPRESS CARE SERVICES LLC
Entity type:Organization
Organization Name:EXPRESS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSHELL
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:601-562-6120
Mailing Address - Street 1:1902 FRONT ST FRNT ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-5234
Mailing Address - Country:US
Mailing Address - Phone:601-562-6120
Mailing Address - Fax:
Practice Address - Street 1:1959 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:MS
Practice Address - Zip Code:39354-8750
Practice Address - Country:US
Practice Address - Phone:601-562-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health