| S M Rm C Senior Life | |
|
1065 E Broad St Monticello MS 39654-7703 | |
| (601) 249-1164 | |
| Not Available |
| Full Name | S M Rm C Senior Life |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1065 E Broad St, Monticello, Mississippi |
| Authorized Official Name and Position | Norman Price (CEO) |
| Authorized Official Contact | 6012495500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S M Rm C Senior Life Po Box 1307 Mccomb MS 39649-1307 Ph: (601) 587-1164 | S M Rm C Senior Life 1065 E Broad St Monticello MS 39654-7703 Ph: (601) 249-1164 |
| NPI Number | 1730303942 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730303942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11-251 (Mississippi) | Primary |
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