Organization
DELCO INC
Active
Other names
Glen Oaks Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA GAIL CRABTREE (ADMINISTRATOR)
(601) 947-2783
Entity
Organization
Contact information
Practice address
55 SUSANNE ST, LUCEDALE, MS 39452-5835
(601) 947-2783
(601) 947-6182
Mailing address
55 SUSANNE ST, LUCEDALE, MS 39452-5835
(601) 947-2783
(601) 947-6182
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230134
—
MS
Enumeration date
10/31/2005
Last updated
08/22/2020
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