Restore Health Clinic

LBN: Restore Health Pllc
Restore Health Clinic is an health care organization with primary practice located at 1551 E County Line Rd , Jackson MS 39211-1801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Restore Health Pllc can be contacted via phone (601) 957-7343, or through Dudley, Shinita Reed via phone (601) 957-7343.

Contact Information

Primary practice address
1551 E County Line Rd Jackson MS 39211-1801
Phone: (601) 957-7343
Fax: (601) 957-7344
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Shinita Reed Doctor of Medicine (MD)
Phone: (601) 957-7343

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 18239 Mississippi

Profile Details

NPI number 1699140152
LBN Legal business name Restore Health Pllc
DBA Doing business as Restore Health Clinic
Authorized official Dudley, Shinita Reed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2015
Last updated Apr 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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