Organization · Type 2 NPI

Home In the Woods Healthcare Clinic, LLC

Primary Care Clinic/Center · Itta Bena, MS

NPI number 1720640899 Active

Practice location

6572 County Road 514
Itta Bena, MS 38941-2746

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1720640899
Entity type: Organization (Type 2)
Issued: Jun 28, 2019
Last updated: Dec 12, 2019
Status: Active

Other names

<unavail>
Home In the Woods Healthcare Clinic, LLC · doing business as
Home In the Woods Healthcare Clinic, LLC · doing business as

Authorized official

Tanga Robinson, CFNP
Family Nurse Practitioner
(601) 896-1789

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720640899

Home In the Woods Healthcare Clinic, LLC's National Provider Identifier is 1720640899, issued on Jun 28, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Itta Bena, MS. The record was last updated on Dec 12, 2019.