Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-08-30
- Last updated
- 2025-09-02
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 60024 OLIVE ST
- City
- SMITHVILLE MS
- Postal code
- 388709719
- Phone
- 662-651-7111
Organization contact
- Name
- MARILYN SUMERFORD
- Title
- Executive Director
- Phone
- 6626514686
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.