Ggnsc Tupelo Llc

NPI 1487605010 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487605010
Enumeration Date 05/16/2006
Last Updated 07/16/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOLLY A. HOLLY
Position SECRETARY
Phone (662) 842-2461
Fax (662) 841-2884
Practice Location
2273 S EASON BLVD
TUPELO MS, 38804-5900, US
Phone (662) 842-2461
Fax (662) 841-2884
Business Location
2273 S EASON BLVD
TUPELO MS, 38804-5900, US
Phone (662) 842-2461
Fax (662) 841-2884
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 417
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According to our database, Ggnsc Tupelo Llc NPI is 1487605010, taxonomy code is 314000000X and license number is 417, license state is located at Mississippi. Ggnsc Tupelo Llc physically located at 2273 S Eason Blvd, Tupelo MS, 38804-5900. NPI Number 1033115704 has the healthcare provider type.

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1487605010 NPI number is provided on an as is basis without warranty of any kind. 1487605010 is maintained by the National Plan & Provider Enumeration System. The contents of Ggnsc Tupelo Llc are for informational purposes only.