Home in the Woods Healthcare Clinic, LLC
NPI #1720640899 in Itta Bena, Mississippi
Provider Information
- NPI Number
- 1720640899
- Entity Type
- Organization
- Organization Name
- Home in the Woods Healthcare Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 28, 2019
- Last Updated
- Dec 12, 2019
Practice Location
- Address
- 6572 COUNTY ROAD 514
- City
- Itta Bena
- State
- Mississippi
- ZIP Code
- 38941-2746
- Phone
- (601) 896-1789
Authorized Official
- Name
- TANGA ROBINSON, CFNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (601) 896-1789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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