Covenant Health & Rehab of Vicksburg, LP

NPI #1548210289 in Vicksburg, Mississippi

Provider Information

NPI Number
1548210289
Entity Type
Organization
Organization Name
Covenant Health & Rehab of Vicksburg, LP
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 11, 2006
Last Updated
Aug 10, 2007

Practice Location

Address
2850 PORTERS CHAPEL RD
ZIP Code
39180-1805
Phone
(601) 638-9211

Authorized Official

Name
MRS. JUDY ULLERY
Title
PRESIDENT
Phone
(901) 937-7994

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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