Gulfport Healthcare LLC
NPI #1538582143 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1538582143
- Entity Type
- Organization
- Organization Name
- Gulfport Healthcare LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 3, 2014
- Last Updated
- Jun 16, 2017
Practice Location
- Address
- 11240 CANAL RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-8625
- Phone
- (228) 539-9943
Authorized Official
- Name
- TONI H PARKINSON
- Title
- AUTHORIZED OFFICIAL
- Phone
- (601) 709-1408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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