Vicksburg Healthcare LLC

NPI #1659319796 in Vicksburg, Mississippi

Provider Information

NPI Number
1659319796
Entity Type
Organization
Organization Name
Vicksburg Healthcare LLC
Subpart
Yes (part of a larger organization)
Parent Organization
VICKSBURG HEALTHCARE LLC
Primary Specialty
Rehabilitation Unit
Enumeration Date
Jun 2, 2006
Last Updated
Nov 6, 2007

Practice Location

Address
2100 HIGHWAY 61 N
ZIP Code
39183-8211
Phone
(601) 883-5157

Authorized Official

Name
LAURIE HOLTSFORD
Title
DIRECTOR, BUSINESS OFFICE SERVICES
Phone
(615) 465-7466

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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