Organization
538 MENGE AVENUE OPERATIONS, LLC
Active
Other names
Pass Christian Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
538 MENGE AVE, PASS CHRISTIAN, MS 39571-4234
(228) 452-4344
(228) 452-2264
Mailing address
538 MENGE AVE, PASS CHRISTIAN, MS 39571-4234
(228) 452-4344
(228) 452-2264
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000230105
—
MS
Enumeration date
03/17/2022
Last updated
09/13/2024
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