Organization
METHODIST SPECIALTY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCKNIGHT (ADMINISTRATOR)
(601) 420-7760
Entity
Organization
Contact information
Practice address
1 LAYFAIR DR, SUITE 500, FLOWOOD, MS 39232-9717
(601) 420-7760
(601) 420-7770
Mailing address
1 LAYFAIR DR, SUITE 500, FLOWOOD, MS 39232-9717
(601) 420-7760
(601) 420-7770
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04477051
—
MS
Enumeration date
01/09/2007
Last updated
12/27/2016
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