South Central Regional Medical Center
NPI #1114923059 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1114923059
- Entity Type
- Organization
- Organization Name
- South Central Regional Medical Center
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Nov 16, 2007
Practice Location
- Address
- 305 E IVY ST
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-2746
- Phone
- (601) 477-9381
Authorized Official
- Name
- JAMES T CANIZARO
- Title
- CFO
- Phone
- (601) 426-4504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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