Kpc Promise Hospital of Vicksburg LLC
NPI #1124682570 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1124682570
- Entity Type
- Organization
- Organization Name
- Kpc Promise Hospital of Vicksburg LLC
- Primary Specialty
- Long Term Care Hospital
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Nov 1, 2021
Practice Location
- Address
- 2100 HIGHWAY 61 N
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-8211
- Phone
- (601) 883-3265
Authorized Official
- Name
- WILLIAM THOMAS
- Title
- SECRETARY
- Phone
- (951) 987-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Long Term Care Hospital |
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