Whalio Doctors

NPI 1023367455

Lucy B Hodges RN Fpnp PLLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Greenwood, MS

Practice location

Address
1303 River Rd, Greenwood, MS 38930-4029
Phone
(662) 299-2809
Fax
(662) 453-3581

Authorised official

Name
Lucy B Hodges
Title
Nurse Practitioner
Phone
(662) 299-2809

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence R537179 (MS)

Registry record

NPI
1023367455
Entity type
Organization
NPI issued
30 Aug 2012
Record last updated
3 Apr 2013

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.