TRI-VISTA REHAB INC NPI 1144577339

NPI Information

NPI: 1144577339
Provider Name: TRI-VISTA REHAB, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
90A CLARK BLVD
TUPELO, MS
ZIP 38804
Phone: (662) 840-0535
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TRI-VISTA REHAB, INC is an assisted living facility in Tupelo, MS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TRI-VISTA REHAB, INC NPI is 1144577339. The provider is registered as an organization entity type.

The provider's business location address is:

90A CLARK BLVD
TUPELO, MS
ZIP 38804-801
Phone: (662) 840-0535
Fax: (662) 842-7915

The provider's authorized official is Kevin Troy Boutin .
The authorized official title is President and has the following contact phone number (662) 840-0535.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 9/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		PT4554	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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