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General NPI Number Information
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NPI Number | 1083943831
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Entity Type | Organization
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Legal Business Name | TRINITY MISSION HEALTH & REHAB OF GREAT OAKS, LLC
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 111 CHASE ST
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City | BYHALIA
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State | MS
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Zip | 38611-7395
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Country | US
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Telephone | 662-838-3670
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Fax | 662-838-3740
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Provider Business Mailing Address
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Address Line | 111 CHASE ST
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City | BYHALIA
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State | MS
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Zip | 38611-7395
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Country | US
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Telephone | 662-838-3670
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Fax | 662-838-3740
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHRISTOPHER J MURPHY
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Credential |
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Telephone | 901-937-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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