NPI | 1487680823 |
---|---|
Doing Business As | COMMUNITY CARE CENTER OF RUSTON |
Entity Type | Organization |
Authorized Contact | RANDY BELTON Authorized Representative 601-709-1408 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 350) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-08-22 |