Healthcare Provider Details

I. General information

NPI: 1790773661
Provider Name (Legal Business Name): B-TECH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 HIGHWAY 49 S SUITE P
FLORENCE MS
39073-9522
US

IV. Provider business mailing address

PO BOX 1522
FLORENCE MS
39073-1522
US

V. Phone/Fax

Practice location:
  • Phone: 601-845-3544
  • Fax: 601-845-3636
Mailing address:
  • Phone: 601-845-3544
  • Fax: 601-845-3636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateMS

VIII. Authorized Official

Name: MS. BEATRICE A EZEM
Title or Position: PRESIDENT/CEO
Credential: RN,
Phone: 601-845-3544