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Contact Information

SMITH COUNTY LTC, LLC
309 MAGNOLIA DRIVE
RALEIGH, MS39153
 Phone: 601-782-4244
 Fax: 601-782-9616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SMITH COUNTY LTC, LLC

NPI Number 1326178203
LBN Legal business name SMITH COUNTY LTC, LLC
Authorized official TONYA EUBANKS - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 10/28/2014 - About 12 years ago
Identifiers
MS License # 354
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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