Healthcare Provider Details

I. General information

NPI: 1770440737
Provider Name (Legal Business Name): MARSADIE CHAREE BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 LEONTYNE PRICE BLVD
LAUREL MS
39440-4428
US

IV. Provider business mailing address

130 LEONTYNE PRICE BLVD
LAUREL MS
39440-4428
US

V. Phone/Fax

Practice location:
  • Phone: 601-433-9977
  • Fax:
Mailing address:
  • Phone: 601-433-9977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number10089611
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: