Organization
CARE CENTER OF LOUISVILLE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBORAH GWIN WHITE (ADMINISTRATOR)
(662) 773-8047
Entity
Organization
Contact information
Practice address
543 E MAIN ST, LOUISVILLE, MS 39339-2709
(662) 773-8047
(662) 773-2530
Mailing address
PO BOX 542, LOUISVILLE, MS 39339-0542
(662) 773-8047
(662) 773-2530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
562
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230036
—
MS
Enumeration date
09/29/2005
Last updated
06/19/2008
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