Healthcare Provider Details

I. General information

NPI: 1972325546
Provider Name (Legal Business Name): TREND HEALTH AND REHAB OF NATCHEZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 JOHN R JUNKIN DR
NATCHEZ MS
39120-4709
US

IV. Provider business mailing address

125 FOUNTAINS BLVD
MADISON MS
39110-6344
US

V. Phone/Fax

Practice location:
  • Phone: 601-499-0899
  • 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: LORI WARNOCK
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 601-499-0899