Healthcare Provider Details

I. General information

NPI: 1881507788
Provider Name (Legal Business Name): DUNCAN NURSING AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 OAK CIR
DUNCAN MS
38740-5520
US

IV. Provider business mailing address

1904 AVENUE M
BROOKLYN NY
11230-6202
US

V. Phone/Fax

Practice location:
  • Phone: 662-395-2577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH POLLACK
Title or Position: CFO EDEN HC LLC
Credential:
Phone: 718-975-4714