Mid-Delta Properties LLC
NPI #1134304959 in Greenville, Mississippi
Provider Information
- NPI Number
- 1134304959
- Entity Type
- Organization
- Organization Name
- Mid-Delta Properties LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 31, 2007
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 1920 LISA DRIVE EXT
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38703-4408
- Phone
- (662) 335-2897
Authorized Official
- Name
- MRS. TONI PARKINSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (601) 709-1408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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