Most Relevant Information
Provider Data
| NPI Number: | 1003274150 |
| Provider Name: | VINCENT HUFFSTUTLER |
| Entity Type: | Individual |
| Taxonomy Code: | 314000000X |
| Specialty: | Skilled Nursing Facility |
| License Number: | TA0605 |
Most Important Dates
| Enumeration Date: | 02/04/2016 |
| Last Updated: | 02/04/2016 |
Provider Practice Location
201 MARY ELLEN DR
RIPLEY
MS
386631658
Practice Location Phone/Fax
| Phone: | 6625875259 |
| Fax: |
Provider Mailing Location
201 MARY ELLEN DR
RIPLEY
MS
386631658
Provider Mailing Phone/Fax
| Phone: | 6625875259 |
| Fax: |