NPI 1013109479

Billdora Senior Care LLC

Organisation Skilled Nursing Facility Tylertown, MS

Practice location

Address: 314 Enochs St, Tylertown, MS 39667-2716
Phone: (601) 876-2173
Fax: (601) 876-4904

Authorised official

Name: Tina Ellis
Title: Comptroller
Phone: (601) 304-0980

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 179 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1013109479
Entity type: Organization
NPI issued: 9 Aug 2007
Record last updated: 9 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.