Ms Band of Choctaw Indians
NPI #1053633230 in Choctaw, Mississippi
Provider Information
- NPI Number
- 1053633230
- Entity Type
- Organization
- Organization Name
- Ms Band of Choctaw Indians
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 16, 2010
- Last Updated
- Jun 15, 2012
Practice Location
- Address
- 210 HOSPITAL CIR
- City
- Choctaw
- State
- Mississippi
- ZIP Code
- 39350-6781
- Phone
- (601) 656-2211
Authorized Official
- Name
- MRS. PHYLLIS J ANDERSON
- Title
- TRIBAL CHIEF
- Phone
- (601) 656-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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