NPI | 1558472803 |
---|---|
Doing Business As | TISHOMINGO HEALTH SWING BED |
Entity Type | Organization |
Authorized Contact | JOSEPH A REPPERT CFO 662-377-3978 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MS 13-221) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-11-11 |