| NPI | 1700872579 |
|---|---|
| Doing Business As | MEADVILLE CONVALESCENT HOME |
| Entity Type | Organization |
| Authorized Contact | REBECCA A RYLEE Administrator 601-384-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 603) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-06-20 |