Quitman County Nursing Home Llc

NPI 1134110679 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1134110679
Enumeration Date 11/03/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PATRICIA ANN PATRICIA
Position ADMINISTRATOR
Phone (662) 326-3690
Fax (662) 326-2717
Practice Location
350 GETWELL ST
MARKS MS, 38646-9785, US
Phone (662) 326-3690
Fax (662) 326-2717
Business Location
350 GETWELL ST
MARKS MS, 38646-9785, US
Phone (662) 326-3690
Fax (662) 326-2717
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 335
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According to our database, Quitman County Nursing Home Llc NPI is 1134110679, taxonomy code is 314000000X and license number is 335, license state is located at Mississippi. Quitman County Nursing Home Llc physically located at 350 Getwell St, Marks MS, 38646-9785. NPI Number 1033115704 has the healthcare provider type.

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1134110679 NPI number is provided on an as is basis without warranty of any kind. 1134110679 is maintained by the National Plan & Provider Enumeration System. The contents of Quitman County Nursing Home Llc are for informational purposes only.