Community Care Center of Aberdeen
NPI #1063628451 in Aberdeen, Mississippi
Provider Information
- NPI Number
- 1063628451
- Entity Type
- Organization
- Organization Name
- Community Care Center of Aberdeen
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 15, 2007
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 505 JACKSON ST
- City
- Aberdeen
- State
- Mississippi
- ZIP Code
- 39730-3349
- Phone
- (662) 369-6431
Authorized Official
- Name
- MR. DAVID W STALLARD
- Title
- PROVIDER REPRESENTATIVE
- Phone
- (601) 956-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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