| NPI | 1609866235 |
|---|---|
| Former Legal Business Name | MISSISSIPPI CARE CENTER OF DEKALB LLC |
| Entity Type | Organization |
| Authorized Contact | PATTY C NESTER Administrator 601-743-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 358) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |