is a Skilled Nursing Facility in Tupelo, Mississippi. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1487605010. The last update date is .
's current location address is 2273 S Eason Blvd, Tupelo, Mississippi. You can contact this provider via phone number 6628422461 and fax number 6628412884. The mailing address for is 2273 S Eason Blvd, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2273 S Eason Blvd, Tupelo, Mississippi |
| Phone Number | 6628422461 |
| Fax Number | 6628412884 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487605010 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2273 S Eason Blvd |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388045900 |
| Phone Number | 6628422461 |
| Fax Number | 6628412884 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 417 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23145 | MS | -- |
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