Cradle to the Grave Healthcare LLC
NPI #1770935611 in Leakesville, Mississippi
Provider Information
- NPI Number
- 1770935611
- Entity Type
- Organization
- Organization Name
- Cradle to the Grave Healthcare LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 3, 2016
- Last Updated
- Jul 3, 2016
Practice Location
- Address
- 413 SAINT FRANCIS ST STE B
- City
- Leakesville
- State
- Mississippi
- ZIP Code
- 39451-8909
- Phone
- (251) 645-4539
Authorized Official
- Name
- SUSAN RUTLEDGE
- Title
- DIRECTOR
- Phone
- (601) 947-1330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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