Organization
KPC PROMISE HOSPITAL OF VICKSBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS (SECRETARY)
(951) 987-8100
Entity
Organization
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-3265
Mailing address
900 N FEDERAL HWY STE 350, BOCA RATON, FL 33432-2754
(561) 869-6505
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
11/01/2021
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