OrganizationActive
River Health Care, LLC
NPI 1184009086 · Podiatrist · Brandon, MS
Provider details
- NPI number
- 1184009086
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- River Health Care, LLC
- Organization subpart
- Yes
- Authorized official
- Larry Cruel, Owner / President(601) 941-6386
- License
- 80152 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
426 Abbey Woods
Brandon, MS 39047-7719
Phone: (601) 941-6386
Approximate (ZIP-level) locationGet directions
Mailing address
4510 Office Park Dr
Jackson, MS 39206-6016
Other names (DBA / former)
- Doing business as
- Magnolia Foot Care Center
Registry dates
- Enumerated
- 2015-07-21
- Last updated
- 2015-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.