NPI | 1447031943 |
---|---|
Doing Business As | MANTACHIE RURAL HEALTH CARE, INC. DORSEY SCHOOL |
Entity Type | Organization |
Authorized Contact | KAREN CRABB BURNS COO 662-282-4226 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-10 |
Last Update Date | 2023-10-13 |