| NPI | 1891965612 |
|---|---|
| Doing Business As | CHOCTAW RESIDENTIAL CENTER PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J ANDERSON Tribal Chief 601-656-5251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 583) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2012-07-02 |