SMITH COUNTY LTC LLC NPI 1326178203

NPI Details

SMITH COUNTY LTC, LLC is a nursing facility intermediate care facility in Raleigh, MS. The provider is 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. SMITH COUNTY LTC, LLC NPI is 1326178203. The provider is registered as an organization entity type.

The provider's business location address is:

309 MAGNOLIA DRIVE
RALEIGH, MS
ZIP 39153
Phone: (601) 782-4244
Fax: (601) 782-9616

The provider's authorized official is Tonya Nell Eubanks .
The authorized official title is Controller and has the following contact phone number (662) 234-1520.

The CLIA number assigned to this NPI record is 25D2316390 - other - rural emergency hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 10/28/2014.

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: