Organization
DURANT HEALTHCARE LLC
Active
Other names
Holmes County Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA ELLIS (COMPTROLLER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
15481 BOWLING GREEN RD, DURANT, MS 39063-3565
(662) 653-4106
(662) 653-3940
Mailing address
15481 BOWLING GREEN RD, DURANT, MS 39063-3565
(662) 653-4106
(662) 653-3940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00220267
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220267
—
MS
Enumeration date
11/05/2010
Last updated
11/05/2010
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