Organization
ATTALA COMMUNITY CARE CENTER LLC
Active
Other names
Attala County Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTITIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
326 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1200
(662) 289-3070
Mailing address
326 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1200
(662) 289-3070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
540
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230128
—
MS
01
—
80168
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/04/2006
Last updated
04/30/2013
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