NPI 1093443103
Senior Care Clinic LLC
Practice location
- Address
- 109 School Street Ext, Newton, MS 39345-2272
- Phone
- (601) 527-5679
- Mailing address
- PO Box 941, Decatur, MS 39327-0941
Authorised official
- Name
- Timothy Thomas
- Title
- Owner
- Phone
- (601) 527-5679
Registered specialties
Clinic/Center
Primary
Registry record
- NPI
- 1093443103
- Entity type
- Organization
- NPI issued
- 8 Aug 2022
- Record last updated
- 8 Aug 2022
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.