Organization
SENIOR CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY THOMAS (OWNER)
(601) 527-5679
Entity
Organization
Contact information
Practice address
109 SCHOOL STREET EXT, NEWTON, MS 39345-2272
(601) 527-5679
Mailing address
PO BOX 941, DECATUR, MS 39327-0941
(601) 527-5679
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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