Jefferson County Nursing Home
NPI #1184611741 in Fayette, Mississippi
Provider Information
- NPI Number
- 1184611741
- Entity Type
- Organization
- Organization Name
- Jefferson County Nursing Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Apr 15, 2008
Practice Location
- Address
- 910 MAIN ST
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069-5524
- Phone
- (601) 786-3888
Authorized Official
- Name
- MRS. MONTINA FLETCHER BOLTON
- Title
- ADMINISTRATOR
- Phone
- (601) 786-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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