Dynamic Indianola Operating LLC
NPI #1295882918 in Indianola, Mississippi
Provider Information
- NPI Number
- 1295882918
- Entity Type
- Organization
- Organization Name
- Dynamic Indianola Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 401 HIGHWAY 82 W
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2030
- Phone
- (662) 887-2682
Authorized Official
- Name
- MRS. REBECCA RYLEE
- Title
- ADMINISTRATOR
- Phone
- (662) 887-2682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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