Provider Demographics
NPI:1790322030
Name:KNIT TOGETHER HEALTHCARE
Entity Type:Organization
Organization Name:KNIT TOGETHER HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:ADES
Authorized Official - Last Name:MILLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-896-3102
Mailing Address - Street 1:113 OAKHURST DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-3121
Mailing Address - Country:US
Mailing Address - Phone:601-896-3102
Mailing Address - Fax:
Practice Address - Street 1:113 OAKHURST DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-3121
Practice Address - Country:US
Practice Address - Phone:601-896-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care