Pontotoc Ltc, INC
NPI #1548373665 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1548373665
- Entity Type
- Organization
- Organization Name
- Pontotoc Ltc, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jan 15, 2015
Practice Location
- Address
- 278 W 8TH ST
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-3612
- Phone
- (662) 489-6411
Authorized Official
- Name
- MR. GENE BENNETT HUBBARD JR.
- Title
- OWNER
- Phone
- (601) 849-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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