Tishomingo Community Care Center LLC
NPI #1194773515 in Iuka, Mississippi
Provider Information
- NPI Number
- 1194773515
- Entity Type
- Organization
- Organization Name
- Tishomingo Community Care Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 5, 2006
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 230 KAKI AVE
- City
- Iuka
- State
- Mississippi
- ZIP Code
- 38852-1192
- Phone
- (662) 423-9112
Authorized Official
- Name
- MRS. TONI PARKINSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (601) 709-1408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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