Whalio Doctors

NPI 1154379469

Mississippi Band of Choctaw Indians

Organisation Nursing Facility/Intermediate Care Facility Choctaw, MS

Practice location

Address
135 Hospital Cir, Choctaw, MS 39350-6780
Phone
(601) 656-2582

Authorised official

Name
Wendy Michelle Moran
Title
Nursing Home Administrator
Phone
(601) 656-2582

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 583 (MS)

Registry record

NPI
1154379469
Entity type
Organization
NPI issued
5 May 2006
Record last updated
6 Nov 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.