Monticello Community Care Center Llc

NPI 1144278565 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144278565
Enumeration Date 05/05/2006
Last Updated 04/30/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TONI TONI
Position AUTHORIZED REPRESENTATIVE
Phone (601) 587-2593
Fax (601) 587-5352
Practice Location
700 JEFFERSON ST.
MONTICELLO MS, 39654-0398, US
Phone (601) 587-2593
Fax (601) 587-5352
Business Location
700 JEFFERSON ST.
MONTICELLO MS, 39654-0398, US
Phone (601) 587-2593
Fax (601) 587-5352
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 459
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According to our database, Monticello Community Care Center Llc NPI is 1144278565, taxonomy code is 314000000X and license number is 459, license state is located at Mississippi. Monticello Community Care Center Llc physically located at 700 Jefferson St., Monticello MS, 39654-0398. NPI Number 1033115704 has the healthcare provider type.

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1144278565 NPI number is provided on an as is basis without warranty of any kind. 1144278565 is maintained by the National Plan & Provider Enumeration System. The contents of Monticello Community Care Center Llc are for informational purposes only.