340 DESOTO AVENUE EXT OPERATIONS, LLC

CLARKSDALE, MS
NPI1932856531
Doing Business AsGREENBOUGH HEALTH AND REHABILITATION CENTER
Entity TypeOrganization
Authorized ContactJERON P WALKER
Manager
704-273-1580
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2022-03-04
Last Update Date2022-06-15
Business Address
340 DESOTO AVENUE EXT OPERATIONS, LLC
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614-2814
Phone number: 253-278-2258
Mailing Address
340 DESOTO AVENUE EXT OPERATIONS, LLC
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614-2814
Phone number: 253-278-2258