101 Kirkland Street Opco LLC
NPI #1851109896 in Union, Mississippi
Provider Information
- NPI Number
- 1851109896
- Entity Type
- Organization
- Organization Name
- 101 Kirkland Street Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 101 KIRKLAND ST
- City
- Union
- State
- Mississippi
- ZIP Code
- 39365-3205
- Phone
- (601) 774-8233
Authorized Official
- Name
- TIFFANY HOBACK
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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