Organization
TREND HEALTH AND REHAB OF BROOKHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRUCE KELLY (MANAGING MEMBER)
(601) 499-0899
Entity
Organization
Contact information
Practice address
525 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-2330
Mailing address
125 FOUNTAINS BLVD, MADISON, MS 39110-6344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/24/2021
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