Columbia Community Care Center LLC
NPI #1467400242 in Columbia, Mississippi
Provider Information
- NPI Number
- 1467400242
- Entity Type
- Organization
- Organization Name
- Columbia Community Care Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 4, 2006
- Last Updated
- Feb 22, 2017
Practice Location
- Address
- 1018 ALBERTA AVE
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-2552
- Phone
- (601) 731-1745
Authorized Official
- Name
- MRS. TONI PARKINSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (601) 709-1408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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