OrganizationActive
Dynamic Yazoo City Operating Company LLC
NPI 1619012465 · Skilled Nursing Facility · Yazoo City, MS
Provider details
- NPI number
- 1619012465
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jena Johnson, Administrator Asst.(662) 746-6651
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
925 Calhoun Ave
Yazoo City, MS 39194-3229
Phone: (662) 746-6651
Fax: (662) 746-6090
Approximate (ZIP-level) locationGet directions
Mailing address
925 Calhoun Ave
Yazoo City, MS 39194-3229
Registry dates
- Enumerated
- 2007-02-20
- 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.