NPI 1356772594
Jefferson County Nursing Home Therapy
Practice location
- Address
- 910 Main St, Fayette, MS 39069
- Phone
- (601) 786-3888
- Fax
- (601) 786-9400
- Mailing address
- P.O. Box 1089, Fayette, MS 39069
Authorised official
- Name
- Montina Rena Fletcher-Lewis
- Title
- Administrator
- Phone
- (601) 786-3888
Registered specialties
Rehabilitation Hospital
Primary
Registry record
- NPI
- 1356772594
- Entity type
- Organization
- NPI issued
- 12 Dec 2013
- Record last updated
- 12 Dec 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.