Organization
JEFFERSON COUNTY NURSING HOME THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONTINA RENA FLETCHER-LEWIS CEO (ADMINISTRATOR)
(601) 786-3888
Entity
Organization
Contact information
Practice address
910 MAIN ST, FAYETTE, MS 39069
(601) 786-3888
(601) 786-9400
Mailing address
P.O. BOX 1089, FAYETTE, MS 39069
(601) 786-3888
(601) 786-9400
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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