Organization
DYNAMIC COLUMBIA OPERATING COMPANY LLC
Active
Other names
Columbia Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY S BROWN (BUSINESS OFFICE MANAGER)
(601) 736-9557
Entity
Organization
Contact information
Practice address
1506 NORTH MAIN STREET, COLUMBIA, MS 39429-2070
(601) 736-9557
(601) 736-9903
Mailing address
1506 NORTH MAIN STREET, COLUMBIA, MS 39429-2070
(601) 736-9557
(601) 736-9903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
507
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230067
—
MS
Enumeration date
02/22/2007
Last updated
08/22/2020
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