NPI 1093008542

Dogwood Plantation of Fulton

Organisation Assisted Living Facility Fulton, MS

Practice location

Address: 201 W Piercetown Rd, Fulton, MS 38843-8597
Phone: (662) 862-6120
Fax: (662) 862-6146
Mailing address: 201 West Piercetown Road, Fulton, MS 38843

Authorised official

Name: F. G. Jack Bobo
Title: Managing Partner
Phone: (662) 624-2425

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 933 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1093008542
Entity type: Organization
NPI issued: 17 May 2011
Record last updated: 17 May 2011

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.