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NPI Code Detail

MEDICARE: TREND HEALTH & REHAB OF MERIDIAN LLC

MEDICARE: TREND HEALTH & REHAB OF MERIDIAN LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1982257853
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREND HEALTH & REHAB OF MERIDIAN LLC
Provider Business Mailing Address
First Line : 125 FOUNTAINS BLVD
Second Line :
City : MADISON
State : MS
Zip : 39110-6344
Country : US
Telephone Number : 601-499-0899
Fax Number : 601-499-0897
Provider Business Practice Location Address
First Line : 517 33RD ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39305-3944
Country : US
Telephone Number : 601-499-0899
Fax Number : 601-499-0897
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. CHARLES BRUCE KELLY
Credential :
Telephone Number : 601-499-0899
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/19/2019

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Directions to “TREND HEALTH & REHAB OF MERIDIAN LLC ” Practice Location

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