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Organization
MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Active
Organization
MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Active
Other names
Restorative Care Hospital at Baptist
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JACKSON (VICE PRESIDENT/CORPORATE CONTROLLER)
(601) 968-5130
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-5130
(601) 968-1383
Mailing address
PO BOX 23090, JACKSON, MS 39225-3090
(601) 968-1362
(601) 292-4592
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
23-319
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220174
—
MS
Enumeration date
07/04/2006
Last updated
12/05/2007
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