NPI 1225565450

Reconnect Wellness Iuka, LLC

Organisation Preferred Provider Organization Iuka, MS

Practice location

Address: 1670 Whitehouse Rd, Iuka, MS 38852-9013
Phone: (662) 680-3148
Fax: (662) 620-9890
Mailing address: PO Box 3667, Tupelo, MS 38803-3667

Authorised official

Name: Douglas M Wright
Title: Managing Member Reconnect Outpatien
Phone: (662) 680-3148

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1225565450
Entity type: Organization
NPI issued: 18 May 2017
Record last updated: 18 May 2017

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.