# SENIOR CARE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093443103
- **Authorized official:** MR. TIMOTHY THOMAS (OWNER)
- **Authorized official phone:** (601) 527-5679

## Contact information

- **Practice address:** 109 SCHOOL STREET EXT, NEWTON, MS 39345-2272
- **Practice address phone:** (601) 527-5679
- **Mailing address:** PO BOX 941, DECATUR, MS 39327-0941
- **Mailing address phone:** (601) 527-5679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022