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Ggnsc Eupora Llc

Ggnsc Eupora Llc is a health care provider in Eupora, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 156 E Walnut Ave, Eupora, MS 39744-2027, US
Practice Location Phone662-258-8293
Practice Location Fax662-258-2345
Legal Business NameGGNSC EUPORA LLC
Other Organization NameGOLDEN LIVINGCENTER - EUPORA
Other Organization Name TypeDoing Business As Name
NPI ?1619928207
Entity TypeOrganization
Enumeration Date ? May 16, 2006
Last Update Date ? Jul 16, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ggnsc Eupora Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 382Mississippi

legacy-id-icon Legacy Provider IDs of Ggnsc Eupora Llc

Provider IdIssuer StateIssuer TypeIssuer
23049MississippiMedicaid

official-icon Authorized Official of Ggnsc Eupora Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ggnsc Eupora 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 Holly A. Rasmussen-jones
Authorized Official Title/PositionSECRETARY
Authorized Official Phone Number479-201-4835