Organization
BILLDORA SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA ELLIS (COMPTROLLER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
314 ENOCHS ST, TYLERTOWN, MS 39667-2716
(601) 876-2173
(601) 876-4904
Mailing address
314 ENOCHS ST, TYLERTOWN, MS 39667-2716
(601) 876-2173
(601) 876-4904
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
179
MS
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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