| Home In The Woods Healthcare Clinic, Llc | |
|
6572 County Road 514 Itta Bena MS 38941-2746 | |
| (601) 896-1789 | |
| Not Available |
| Full Name | Home In The Woods Healthcare Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6572 County Road 514, Itta Bena, Mississippi |
| Authorized Official Name and Position | Tanga Robinson (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6018961789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home In The Woods Healthcare Clinic, Llc 6572 County Road 514 Itta Bena MS 38941-2746 Ph: () - | Home In The Woods Healthcare Clinic, Llc 6572 County Road 514 Itta Bena MS 38941-2746 Ph: (601) 896-1789 |
| NPI Number | 1720640899 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720640899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Itta Bena Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Basket St, Itta Bena, MS 38941 Phone: 662-254-7801 | |
Delta Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14000 Highway 82 W, Itta Bena, MS 38941 Phone: 662-741-8800 |