2nd Generation Healthcare, LLC
NPI #1356651772 in Columbia, Mississippi
Provider Information
- NPI Number
- 1356651772
- Entity Type
- Organization
- Organization Name
- 2nd Generation Healthcare, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Jun 1, 2018
Practice Location
- Address
- 11 PECAN DRIVE
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429
- Phone
- (601) 736-4747
Authorized Official
- Name
- MICHAEL BRADSHAW
- Title
- ADMINISTRATOR
- Phone
- (601) 736-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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