Organization
JAQUITH NURSING HOME - ADAMS INN
Active
Parent organization
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Other names
Jaquith Nursing Home - Adams Inn
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Authorized official
MR. JAMES G CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Mailing address
P.O. BOX 1 FISCAL SERVICES, 3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
944
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230126
—
MS
Enumeration date
10/31/2006
Last updated
06/02/2017
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