Organization
BEDFORD CARE CENTER OF MARION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E MCELROY JR. (VICE PRESIDENT)
(601) 583-3232
Entity
Organization
Contact information
Practice address
6434A DALE DR, MARION, MS 39342-8704
(601) 294-3515
(601) 693-3198
Mailing address
100 W PINE ST, HATTIESBURG, MS 39401-3467
(601) 583-3232
(601) 582-7539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
524
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09471018
—
MS
Enumeration date
04/13/2009
Last updated
01/15/2010
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