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Medicl Facility ID: 1947578889610744007

Facility Business Name: MEDICAL MALL DIALYSIS ( JACKSON, MS )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id1947578889610744007
Facility NameMEDICAL MALL DIALYSIS
Address Line350 W. WOODROW WILSON, MD-224
CityJACKSON
StateMS
Zip39213
CountyHinds
Phone601-815-6345
TypeDialysis Facility
Provider Id253503