Organization
MISSISSIPPI COMMCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (VICE PRESIDENT)
(504) 324-8950
Entity
Organization
Contact information
Practice address
3680 LAKELAND LN, JACKSON, MS 39216-4707
(601) 982-5505
(601) 362-1883
Mailing address
950 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3082
(504) 324-8950
(985) 624-3477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
385
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000071705
—
MS
01
—
000080392
BC BS OF MISSISSIPPI
MS
05
—
00071705
—
MS
Enumeration date
11/20/2006
Last updated
04/24/2026
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