Organization
GREENE COUNTY NURSING AND REHABILITATION CENTER, INC.
Active
Other names
GREENE RURAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WAYNE KULUZ CPA (CHIEF FINANCIAL OFFICER)
(601) 928-2911
Entity
Organization
Contact information
Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-4135
Mailing address
PO BOX 115, WIGGINS, MS 39577-0115
(601) 928-2911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IN PROCESS
MS
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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