Organization
RURAL HEALTHCARE DEVELOPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY L SHOEMAKER (CEO)
(662) 321-1155
Entity
Organization
Contact information
Practice address
2554 MAIN ST, PLANTERSVILLE, MS 38862-7908
(662) 844-3451
Mailing address
PO BOX 489, PLANTERSVILLE, MS 38862-0489
(662) 840-0196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PENDING
MS
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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