Wilkinson County Senior Care Llc

NPI 1053503318 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1053503318
Enumeration Date 08/10/2007
Last Updated 08/10/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TINA TINA
Position COMPTROLLER
Phone (601) 645-5253
Fax (601) 645-6389
Practice Location
166 S LAFAYETTE ST
CENTREVILLE MS, 39631-3571, US
Phone (601) 645-5253
Fax (601) 645-6389
Business Location
166 S LAFAYETTE STREET
P O BOX 310
CENTREVILLE MS, 39631-0310, US
Phone (601) 645-5253
Fax (601) 645-6389
Toxanomy
Taxonomy Code 314000000X
License State Mississippi
License Number 379
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According to our database, Wilkinson County Senior Care Llc NPI is 1053503318, taxonomy code is 314000000X and license number is 379, license state is located at Mississippi. Wilkinson County Senior Care Llc physically located at 166 S Lafayette St, Centreville MS, 39631-3571. NPI Number 1033115704 has the healthcare provider type.

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1053503318 NPI number is provided on an as is basis without warranty of any kind. 1053503318 is maintained by the National Plan & Provider Enumeration System. The contents of Wilkinson County Senior Care Llc are for informational purposes only.