Organization
OASIS HEALTH & REHAB OF YAZOO CITY, LLC
Active
Parent organization
COVENANT DOVE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
CHRISTOPHER J MURPHY (VICE PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
925 CALHOUN AVE, YAZOO CITY, MS 39194-3229
(662) 746-7770
(662) 746-4185
Mailing address
925 CALHOUN AVE, YAZOO CITY, MS 39194-3229
(662) 746-7770
(662) 746-4185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06820185
—
MS
Enumeration date
11/11/2009
Last updated
04/12/2012
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