Organization
BRANDYWINE HEALTH SERVICES OF MS INC
Active
Other names
Choctaw County Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY SHOEMAKER (ADMINISTRATOR)
(662) 285-6234
Entity
Organization
Contact information
Practice address
311 E CHERRY ST, ACKERMAN, MS 39735-9795
(662) 285-3257
(662) 285-2516
Mailing address
PO BOX 1039, ACKERMAN, MS 39735
(662) 285-3257
(662) 285-2516
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
242
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230167
—
MS
Enumeration date
10/12/2005
Last updated
06/05/2008
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