Mississippi Band of Choctaw Indians
Mississippi Band of Choctaw Indians is a Nursing Facility/Intermediate Care Facility in Choctaw, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
135 Hospital CirChoctaw, MS 39350-6780 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 656-2582
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 583 (MS) |
|---|
Record details
| NPI number | 1154379469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Moran — Nursing Home Administrator · (601) 656-2582 |
| Other names | Choctaw Residential Center Enterprise |
| NPI enumerated | May 5, 2006 |
| Last updated in NPPES | November 6, 2013 |
| Mailing address | 135 Hospital Cir, Choctaw, MS 39350-6780 |
Clinicians affiliated with this facility
- David Lawrence Moody, MD Family Medicine Physician · Carthage, MS
- Dr. Manuel Lim Ong Jr., MD Internal Medicine Physician · Carthage, MS
Other providers in Choctaw
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Mississippi Band of Choctaw Indians
135 Hospital Cir, Choctaw, MS 39350-6780 · (601) 656-2582