Organization
MARTHA COKER HOME, INC.
Active
Parent organization
MISSISSIPPI METHODIST SENIOR SERVICES, INC.
Other names
Martha Coker Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI METHODIST SENIOR SERVICES, INC.
Authorized official
MR. STEVE MCALILLY (CEO)
(662) 844-8977
Entity
Organization
Contact information
Practice address
2041 GRAND AVENUE, YAZOO CITY, MS 39194
(662) 844-8977
(662) 690-6643
Mailing address
PO BOX 1567, TUPELO, MS 38802-1567
(662) 844-8977
(662) 690-6643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
152
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08107516
—
MS
Enumeration date
02/22/2008
Last updated
04/27/2009
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