Madison County Nursing Home
NPI #1750431391 in Canton, Mississippi
Provider Information
- NPI Number
- 1750431391
- Entity Type
- Organization
- Organization Name
- Madison County Nursing Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Mar 23, 2010
Practice Location
- Address
- 1421A E PEACE ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-4938
- Phone
- (601) 855-5760
Authorized Official
- Name
- MR. DANIEL LOGAN
- Title
- ADMINISTRATOR
- Phone
- (601) 855-5771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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