Provider Demographics
NPI:1891512265
Name:MS BS PROFESSION CAREGIVING SERVICE
Entity type:Organization
Organization Name:MS BS PROFESSION CAREGIVING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:SHARON CAMPBELL
Authorized Official - Phone:662-216-9396
Mailing Address - Street 1:2640 ODELL RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-9138
Mailing Address - Country:US
Mailing Address - Phone:662-216-9396
Mailing Address - Fax:
Practice Address - Street 1:2640 ODELL RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-9138
Practice Address - Country:US
Practice Address - Phone:662-216-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care