Organization
MCCOMB HEALTHCARE LLC
Active
Other names
Courtyard Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
(601) 684-2881
Mailing address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
(601) 684-2881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
556
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220163
—
MS
Enumeration date
06/02/2006
Last updated
09/13/2024
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