Organization
555 JOHN R JUNKIN DRIVE OPCO LLC
Active
Other names
Grand Trace Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
555 JOHN R JUNKIN DR, NATCHEZ, MS 39120-4709
(601) 442-4396
(601) 442-0321
Mailing address
555 JOHN R JUNKIN DR, NATCHEZ, MS 39120-4709
(601) 442-4396
(601) 442-0321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
03/10/2025
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