| NPI | 1770970527 |
|---|---|
| Doing Business As | FLOYD E. TUTT FAN STATE VETERANS HOME |
| Entity Type | Organization |
| Authorized Contact | DEBBIE WHITE Accounts Payable 601-276-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2016-04-01 |