Madison Community Care Center Llc

NPI 1164470225 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1164470225
Enumeration Date 05/04/2006
Last Updated 04/30/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TONI TONI
Position AUTHORIZED REPRESENTATIVE
Phone (601) 853-0415
Fax (601) 853-0515
Practice Location
638 HIGHLAND COLONY PKWY
RIDGELAND MS, 39157-8724, US
Phone (601) 853-0415
Fax (601) 853-0515
Business Location
638 HIGHLAND COLONY PKWY
RIDGELAND MS, 39157-8724, US
Phone (601) 853-0415
Fax (601) 853-0515
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 934
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According to our database, Madison Community Care Center Llc NPI is 1164470225, taxonomy code is 314000000X and license number is 934, license state is located at Mississippi. Madison Community Care Center Llc physically located at 638 Highland Colony Pkwy, Ridgeland MS, 39157-8724. NPI Number 1033115704 has the healthcare provider type.

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1164470225 NPI number is provided on an as is basis without warranty of any kind. 1164470225 is maintained by the National Plan & Provider Enumeration System. The contents of Madison Community Care Center Llc are for informational purposes only.