NPI 1548373665

Pontotoc Ltc, INC

Organisation Skilled Nursing Facility Pontotoc, MS

Practice location

Address: 278 W 8th St, Pontotoc, MS 38863-3612
Phone: (662) 489-6411
Fax: (662) 489-8498

Authorised official

Name: Gene Bennett Hubbard
Title: Owner
Phone: (601) 849-2294

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 305 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1548373665
Entity type: Organization
NPI issued: 15 Aug 2006
Record last updated: 15 Jan 2015

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.