Organization
RIVER HEALTH CARE, LLC
Active
Parent organization
RIVER HEALTH CARE, LLC
Other names
Magnolia Foot Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER HEALTH CARE, LLC
Authorized official
LARRY K CRUEL DPM (OWNER / PRESIDENT)
(601) 941-6386
Entity
Organization
Contact information
Practice address
426 ABBEY WOODS, BRANDON, MS 39047-7719
(601) 941-6386
Mailing address
4510 OFFICE PARK DR, JACKSON, MS 39206-6016
(601) 941-6386
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80152
MS
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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