Organization
ALLY THERAPY SPECIALISTS, LLC
Active
Other names
Ally Therapy Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN MOORE (MANAGER)
(662) 288-1170
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SENATOBIA, MS 38668-2115
(662) 288-1170
Mailing address
PO BOX 22, SENATOBIA, MS 38668-0022
(662) 288-1170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OT2229
MS
Other
Enumeration date
01/30/2017
Last updated
04/12/2023
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