Belhaven Senior Care
NPI #1518159862 in Madison, Mississippi
Provider Information
- NPI Number
- 1518159862
- Entity Type
- Organization
- Organization Name
- Belhaven Senior Care
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 10, 2007
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 111 KELLY BLVD
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 898-6080
Authorized Official
- Name
- MATTHEW CORLEY WAGNER, LNHA
- Title
- ADMINISTRATOR
- Phone
- (601) 898-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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