Smith County Ltc, LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1326178203

Smith County Ltc, LLC is a Nursing Facility/Intermediate Care Facility in Raleigh, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in: MS
In the registry since: 2007

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 Magnolia Dr
Raleigh, MS 39153 Not confirmed with CMS for 11 years — call before visiting
Phone: (601) 782-4244
Fax: (601) 782-9616

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary)	Taxonomy 313M00000X · Licence 354 (MS)

Record details

NPI number	1326178203
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Tonya Eubanks — Controller · (662) 234-1520
NPI enumerated	March 7, 2007
Last updated in NPPES	October 28, 2014
Mailing address	309 Magnolia Drive, P. O. Box 128, Raleigh, MS 39153

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Karen H Bruce, MD Family Medicine Physician · Collins, MS
John Coleman, MD Student in an Organized Health Care Education/Training Program · Forest, MS
Dr. Charles Pruitt, MD Family Medicine Physician · Magee, MS