Organization
WASHINGTON COUNTY LTC, INC.
Active
Other names
MS Care Center of Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA COOPER (ADMINISTRATOR)
(662) 335-5811
Entity
Organization
Contact information
Practice address
1221 E UNION ST, GREENVILLE, MS 38703-3243
(662) 335-5811
(662) 332-2551
Mailing address
1221 E UNION ST, GREENVILLE, MS 38703-3243
(662) 335-5811
(662) 332-2551
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
738
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230075
—
MS
Enumeration date
12/21/2006
Last updated
04/26/2013
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