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NPI Code Detail

MEDICARE: CHOCTAW COUNTY NURSING CENTER

MEDICARE: CHOCTAW COUNTY NURSING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility242MS

General Provider Information

NPI Number : 1649595349
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOCTAW COUNTY NURSING CENTER
Provider Business Mailing Address
First Line : PO BOX 360
Second Line :
City : ACKERMAN
State : MS
Zip : 39735-0360
Country : US
Telephone Number : 662-285-3257
Fax Number : 662-285-2725
Provider Business Practice Location Address
First Line : 311 W CHERRY ST
Second Line :
City : ACKERMAN
State : MS
Zip : 39735-8708
Country : US
Telephone Number : 662-285-3257
Fax Number : 662-285-2725
Authorized Official
Title or Position : BOARD PRESIDENT
Name : MR. THOMAS HIGGINS
Credential :
Telephone Number : 662-285-6329
Provider Enumeration Date : 04/06/2010
Last Update Date : 04/06/2010

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Directions to “CHOCTAW COUNTY NURSING CENTER ” Practice Location

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