| Restoration Essence Of A Lady Acute Php | |
|
500 Cc Road Belzoni MS 39038 | |
| (662) 303-1800 | |
| (662) 399-5101 |
| Full Name | Restoration Essence Of A Lady Acute Php |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Cc Road, Belzoni, Mississippi |
| Authorized Official Name and Position | Joann Wilson (DIRECTOR) |
| Authorized Official Contact | 6623031800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Essence Of A Lady Acute Php 308 Camellia Lane Indianola MS 38751 Ph: (662) 303-1800 | Restoration Essence Of A Lady Acute Php 500 Cc Road Belzoni MS 39038 Ph: (662) 303-1800 |
| NPI Number | 1245975499 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245975499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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