Organization
DOGWOOD PLANTATION OF FULTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F. G. JACK BOBO (MANAGING PARTNER)
(662) 624-2425
Entity
Organization
Contact information
Practice address
201 W PIERCETOWN RD, FULTON, MS 38843-8597
(662) 862-6120
(662) 862-6146
Mailing address
201 WEST PIERCETOWN ROAD, FULTON, MS 38843
(662) 840-3111
(662) 840-3119
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
933
MS
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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