Home » Mississippi » 39631 » Wilkinson County Nursing Center Llc

Wilkinson County Nursing Center Llc

Wilkinson County Nursing Center Llc is a health care provider in Centreville, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 166 S Lafayette St, Centreville, MS 39631-0310, US
Practice Location Phone601-645-5253
Practice Location Fax601-645-6389
Legal Business NameWILKINSON COUNTY NURSING CENTER LLC
NPI ?1548244262
Entity TypeOrganization
Enumeration Date ? Dec 6, 2005
Last Update Date ? Aug 10, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wilkinson County Nursing Center Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 379Mississippi

legacy-id-icon Legacy Provider IDs of Wilkinson County Nursing Center Llc

Provider IdIssuer StateIssuer TypeIssuer
00230138MississippiMedicaid

official-icon Authorized Official of Wilkinson County Nursing Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wilkinson County Nursing Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Tina L Ellis
Authorized Official Title/PositionCOMPTROLLER
Authorized Official Phone Number601-304-0980