Organization
STARKVILLE MANOR HEALTHCARE LLC
Active
Other names
Starkville Manor Health Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
1001 HOSPITAL ROAD, STARKVILLE, MS 39760-1466
(662) 323-6360
(662) 323-4413
Mailing address
PO BOX 1466, STARKVILLE, MS 39760-1466
(662) 323-6360
(662) 323-4413
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
555
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000220164
—
MS
Enumeration date
06/14/2006
Last updated
09/13/2024
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