Organization · Type 2 NPI
Premier Rehab
Clinic/Center · Tougaloo, MS
NPI number
1790921724
Active
Practice location
500 West Countyline Rd
Tougaloo, MS 39174
Fax (601) 661-8457
Mailing address
PO Box 16569
Jackson, MS 39236-6569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1790921724
Premier Rehab's National Provider Identifier is 1790921724, issued on Dec 22, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tougaloo, MS. The record was last updated on Dec 22, 2008.