Organization
NUTRITION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SMITH RD (OWNER)
(662) 869-3700
Entity
Organization
Contact information
Practice address
306 CR 521, SALTILLO, MS 38866
(662) 869-3700
Mailing address
PO BOX 79, SALTILLO, MS 38866-0079
(662) 869-3700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0510
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3021712646
MEDICARE
MS
Enumeration date
02/01/2013
Last updated
11/07/2016
Update your record
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