Sardis Community Nursing Home Llc

NPI 1134177553 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1134177553
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 (662) 487-2720
Fax (662) 487-0040
Practice Location
613 EAST LEE STREET
SARDIS MS, 38666-9704, US
Phone (662) 487-2720
Fax (662) 487-0040
Business Location
613 EAST LEE STREET
SARDIS MS, 38666-9704, US
Phone (662) 487-2720
Fax (662) 487-0040
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 297
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According to our database, Sardis Community Nursing Home Llc NPI is 1134177553, taxonomy code is 314000000X and license number is 297, license state is located at Mississippi. Sardis Community Nursing Home Llc physically located at 613 East Lee Street, Sardis MS, 38666-9704. NPI Number 1033115704 has the healthcare provider type.

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1134177553 NPI number is provided on an as is basis without warranty of any kind. 1134177553 is maintained by the National Plan & Provider Enumeration System. The contents of Sardis Community Nursing Home Llc are for informational purposes only.