Mississippi Band of Choctaw Indians
NPI #1891965612 in Choctaw, Mississippi
Provider Information
- NPI Number
- 1891965612
- Entity Type
- Organization
- Organization Name
- Mississippi Band of Choctaw Indians
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MISSISSIPPI BAND OF CHOCTAW INDIANS
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 7, 2008
- Last Updated
- Jul 2, 2012
Practice Location
- Address
- 135 HOSPITAL CIR
- City
- Choctaw
- State
- Mississippi
- ZIP Code
- 39350-6780
- Phone
- (601) 656-2582
Authorized Official
- Name
- PHYLLIS J ANDERSON
- Title
- TRIBAL CHIEF
- Phone
- (601) 656-5251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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