Seniors On The Go
Clinic/Center, Rehabilitation in Biloxi, MS. Organization (NPI-2).
NPI number1578828331
StatusActive
Last updated in NPPESJul 9, 2012
Details
- NPI
- 1578828331
- Entity type
- Organization (NPI-2)
- Legal business name
- Seniors On The Go
- Organization subpart
- No
- Enumeration date
- Jul 9, 2012
- Last updated
- Jul 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Lemoyne Place (Doing Business As)
Practice location
14306 Lemoyne BlvdBiloxi, MS 39532-9760
Phone 228-396-1998 · Fax 228-396-2907
Mailing address
4490 Kendall CirGulfport, MS 39507-4000
Authorized official
Melinda Smith
Administrator
2282540370
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