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Lucy B Hodges Rn Fpnp Pllc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greenwood, Mississippi
NPI 1023367455

Lucy B Hodges Rn Fpnp Pllc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greenwood, MS. Lucy B Hodges Rn Fpnp Pllc practices in Greenwood, MS. The NPI Number for Lucy B Hodges Rn Fpnp Pllc is 1023367455 and holds a License No. R537179 (Mississippi).

The current practice location address for Lucy B Hodges Rn Fpnp Pllc is 1303 River Rd, Greenwood, MS and can be reached out via phone at 662-299-2809 and via fax at 662-453-3581.

Location: 1303 River Rd, Greenwood, MS, 38930-4029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023367455
Provider Name
Lucy B Hodges Rn Fpnp Pllc
Credential
Provider Entity Type
Organization
Address
1303 River Rd, Greenwood, MS, 38930-4029
Phone Number
662-299-2809
Fax Number
662-453-3581
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07831008 05 MS
1639331994 01 MS NPI
1023367455 01 MS NPI
institution
Provider Business Practice Location Address Details
Address
1303 River Rd
City
Greenwood
State
Mississippi
Zip
38930-4029
Phone Number
662-299-2809
Fax Number
662-453-3581
person
Provider Business Mailing Address Details
Address
1303 River Rd
City
Greenwood
State
Mississippi
Zip
38930-4029
Phone Number
662-299-2809
Fax Number
662-453-3581
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
R537179 (Mississippi)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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