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Pontotoc Health Services, Inc.
Nursing Facility/Intermediate Care Facility in Pontotoc, Mississippi
NPI 1568572485

Pontotoc Health Services, Inc. is a Nursing Facility/Intermediate Care Facility based in Pontotoc, MS. Pontotoc Health Services, Inc. practices in Pontotoc, MS. The NPI Number for Pontotoc Health Services, Inc. is 1568572485 and holds a License No. 590 (Mississippi).

The current practice location address for Pontotoc Health Services, Inc. is 176 S Main St, Pontotoc, MS and can be reached out via phone at 662-488-7640 and via fax at 662-488-7675.

Location: 176 S Main St, Pontotoc, MS, 38863-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568572485
Provider Name
Pontotoc Health Services, Inc.
Credential
Provider Entity Type
Organization
Address
176 S Main St, Pontotoc, MS, 38863-3311
Phone Number
662-488-7640
Fax Number
662-488-7675
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0023108 05 MS
institution
Provider Business Practice Location Address Details
Address
176 S Main St
City
Pontotoc
State
Mississippi
Zip
38863-3311
Phone Number
662-488-7640
Fax Number
662-488-7675
person
Provider Business Mailing Address Details
Address
176 S Main St
City
Pontotoc
State
Mississippi
Zip
38863-3311
Phone Number
662-488-7640
Fax Number
662-488-7675
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
590 (Mississippi)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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