Porters Chapel Opco, LLC
NPI #1972001493 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1972001493
- Entity Type
- Organization
- Organization Name
- Porters Chapel Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 30, 2018
- Last Updated
- May 24, 2018
Practice Location
- Address
- 60 SHADY LAWN PL
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180
- Phone
- (601) 636-1448
Authorized Official
- Name
- WILLIAM D ORAND
- Title
- CEO
- Phone
- (615) 250-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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