OrganizationActive
Care Management Group Inc
NPI 1184608804 · Assisted Living Facility · Tylertown, MS
Provider details
- NPI number
- 1184608804
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Ellis, Comptroller(601) 304-0980
- License
- 179 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
314 Enochs St
Tylertown, MS 39667-2716
Phone: (601) 876-2173
Fax: (601) 876-4904
Approximate (ZIP-level) locationGet directions
Mailing address
314 Enochs St
Tylertown, MS 39667-2716
Other names (DBA / former)
- Doing business as
- Billdora Nursing Home
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.