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Organization

QUEEN CITY NURSING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA HOWARD (ADMINISTRATOR)
(601) 483-1467
Entity
Organization

Contact information

Practice address
1201 28TH AVE, MERIDIAN, MS 39301-3810
(601) 483-1467
(601) 483-1483
Mailing address
1201 28TH AVE, MERIDIAN, MS 39301-3810
(601) 483-1467
(601) 483-1483

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
219
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00230008
MS
Enumeration date
10/04/2005
Last updated
08/22/2020
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