Dynamic Yazoo City Operating Company LLC
NPI #1619012465 in Yazoo City, Mississippi
Provider Information
- NPI Number
- 1619012465
- Entity Type
- Organization
- Organization Name
- Dynamic Yazoo City Operating Company LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 925 CALHOUN AVE
- City
- Yazoo City
- State
- Mississippi
- ZIP Code
- 39194-3229
- Phone
- (662) 746-6651
Authorized Official
- Name
- MRS. JENA JOHNSON
- Title
- ADMINISTRATOR ASST.
- Phone
- (662) 746-6651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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