Organization
REGION IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE ANN SPENCER (RN)
(662) 416-3679
Entity
Organization
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 287-4424
(662) 287-2070
Mailing address
601 FOOTE ST, P.O. BOX 839, CORINTH, MS 38834-4834
(662) 287-4424
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R858073
MS
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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