Organization
COMMUNITY CARE CENTER OF ABERDEEN
Active
Other names
Care Center of Aberdeen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W STALLARD (PROVIDER REPRESENTATIVE)
(601) 956-8884
Entity
Organization
Contact information
Practice address
505 JACKSON ST, ABERDEEN, MS 39730-3349
(662) 369-6431
(662) 369-6473
Mailing address
505 JACKSON ST, ABERDEEN, MS 39730-3349
(662) 369-6431
(662) 369-6473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230034
—
MS
Enumeration date
05/15/2007
Last updated
04/29/2013
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