| Premier Rehab | |
|
500 West Countyline Rd Tougaloo MS 39174 | |
| (601) 636-6019 | |
| (601) 661-8457 |
| Full Name | Premier Rehab |
|---|---|
| Speciality | Clinic/center |
| Location | 500 West Countyline Rd, Tougaloo, Mississippi |
| Authorized Official Name and Position | Terrance D Nickens (OWNER) |
| Authorized Official Contact | 6016366019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Rehab Po Box 16569 Jackson MS 39236-6569 Ph: (601) 636-6019 | Premier Rehab 500 West Countyline Rd Tougaloo MS 39174 Ph: (601) 636-6019 |
| NPI Number | 1790921724 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Jackson Hinds Comprehensive Health Cneter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W County Line Rd, Tougaloo, MS 39174 Phone: 601-978-3095 Fax: 601-978-3938 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W County Line Rd, Tougaloo, MS 39174 Phone: 601-948-5574 Fax: 601-353-7070 |