Healthcare Provider Details

I. General information

NPI: 1992723696
Provider Name (Legal Business Name): UNION COUNTY HEALTH & REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 BRATTON RD
NEW ALBANY MS
38652-9416
US

IV. Provider business mailing address

1111 BRATTON RD
NEW ALBANY MS
38652-9416
US

V. Phone/Fax

Practice location:
  • Phone: 662-539-0502
  • Fax: 662-539-0602
Mailing address:
  • Phone: 662-539-0502
  • Fax: 662-539-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number986
License Number StateMS

VIII. Authorized Official

Name: REBECCA SHELTON
Title or Position: DIRECTOR/SECRETARY
Credential:
Phone: 601-956-8276