Provider Demographics
NPI:1326826249
Name:RURAL CARE 2 YOU LLC
Entity Type:Organization
Organization Name:RURAL CARE 2 YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FNP
Authorized Official - Prefix:
Authorized Official - First Name:AARRIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCDOUGAL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-417-4775
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:TILLATOBA
Mailing Address - State:MS
Mailing Address - Zip Code:38961-0137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:768 COUNTY ROAD 10
Practice Address - Street 2:
Practice Address - City:TILLATOBA
Practice Address - State:MS
Practice Address - Zip Code:38961-3082
Practice Address - Country:US
Practice Address - Phone:662-417-4775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS004370552Medicaid