Vicksburg Healthcare LLC
NPI #1568400604 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1568400604
- Entity Type
- Organization
- Organization Name
- Vicksburg Healthcare LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VICKSBURG HEALTHCARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- 2100 HIGHWAY 61 N
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-8211
- Phone
- (601) 883-5175
Authorized Official
- Name
- LAURIE HOLTSFORD
- Title
- DIRECTOR, BUSINESS OFFICE SERVICES
- Phone
- (615) 465-7466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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