NPI 1326178203

Smith County Ltc, LLC

Organisation Nursing Facility/Intermediate Care Facility Raleigh, MS

Practice location

Address: 309 Magnolia Drive, Raleigh, MS 39153
Phone: (601) 782-4244
Fax: (601) 782-9616
Mailing address: 309 Magnolia Drive P. O. Box 128, Raleigh, MS 39153

Authorised official

Name: Tonya Nell Eubanks
Title: Controller
Phone: (662) 234-1520

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 354 (MS)

Other Nursing Facility/Intermediate Care Facility providers in Mississippi →

Registry record

NPI: 1326178203
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 28 Oct 2014

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.