PREMIER REHAB

TOUGALOO, MS
NPI1790921724
Entity TypeOrganization
Authorized ContactTERRANCE D NICKENS
Owner
601-636-6019
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2008-12-22
Last Update Date2008-12-22
Business Address
PREMIER REHAB
500 WEST COUNTYLINE RD
TOUGALOO, MS 39174
Phone number: 601-636-6019
Mailing Address
PREMIER REHAB
PO BOX 16569
JACKSON, MS 39236-6569
Phone number: 601-636-6019