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Medicl Facility ID: 8610544145223727180

Facility Business Name: DAVITA JACKSON SOUTH DIALYSIS ( JACKSON, MS )

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

Field Name Field Value
Facility Id8610544145223727180
Facility NameDAVITA JACKSON SOUTH DIALYSIS
Address Line1015 I-20 FRONTAGE RD
CityJACKSON
StateMS
Zip39204
CountyHinds
Phone601-373-9154
TypeDialysis Facility
Provider Id252535