Organization
DOGWOOD PLANTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. F.G. JACK BOBO (MANGING PARTNER)
(662) 624-2425
Entity
Organization
Contact information
Practice address
250 FAIRFIELD DR, NEW ALBANY, MS 38652-3134
(662) 534-7331
(662) 534-7335
Mailing address
250 FAIRFIELD DR, NEW ALBANY, MS 38652-3134
(662) 534-7331
(662) 534-7335
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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