Organization
SHADY LAWN, LLC
Active
Parent organization
VANGUARD HEALTHCARE, LLC
Other names
Shady Lawn Health and Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANGUARD HEALTHCARE, LLC
Authorized official
MR. WILLIAM D. ORAND (CEO)
(615) 250-7100
Entity
Organization
Contact information
Practice address
60 SHADY LAWN PL, VICKSBURG, MS 39180
(601) 636-1448
(601) 636-8811
Mailing address
9020 OVERLOOK BLVD STE 202, BRENTWOOD, TN 37027-2755
(615) 250-7100
(615) 250-7101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
182
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220335
—
MS
Enumeration date
10/20/2005
Last updated
05/24/2018
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