MEDICARE: BIANCA LA'SHAI BROOKS-RASCOE CNA, CMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MS

General Provider Information

NPI Number	:	1316732852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA LA'SHAI BROOKS-RASCOE CNA, CMA

Provider Business Mailing Address
First Line	:	1332 SANDFLAT LOOP RD
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-8236
Country	:	US
Telephone Number	:	601-710-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	1332 SANDFLAT LOOP RD
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-8236
Country	:	US
Telephone Number	:	601-710-6458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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