| Cochc | |
|
2434 D-13 Pass Road Biloxi MS 39531 | |
| (228) 641-7561 | |
| (844) 836-2419 |
| Full Name | Cochc |
|---|---|
| Speciality | Home Health |
| Location | 2434 D-13 Pass Road, Biloxi, Mississippi |
| Authorized Official Name and Position | Renee Gusta-garrett (OWNER) |
| Authorized Official Contact | 2286417561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cochc 2367 Trafalgar Dr Biloxi MS 39531-2277 Ph: (228) 641-7561 | Cochc 2434 D-13 Pass Road Biloxi MS 39531 Ph: (228) 641-7561 |
| NPI Number | 1740881911 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740881911 | NPI | - | NPPES |
| ========= | Medicaid | MS | |
| ========= | Other | MS | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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