Organization
CARE MANAGEMENT GROUP INC
Active
Other names
Billdora Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L ELLIS (COMPTROLLER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
314 ENOCHS ST, TYLERTOWN, MS 39667-2716
(601) 876-2173
(601) 876-4904
Mailing address
314 ENOCHS ST, TYLERTOWN, MS 39667-2716
(601) 876-2173
(601) 876-4904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
179
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230053
—
MS
Enumeration date
12/06/2005
Last updated
08/22/2020
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