Organization
LEAKE LTC, LLC
Active
Other names
Carthage Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIEN B HUBBARD (MANAGER)
(601) 849-2294
Entity
Organization
Contact information
Practice address
310 ELLIS ST, CARTHAGE, MS 39051-3809
(601) 267-1432
(601) 267-1211
Mailing address
310 ELLIS ST, CARTHAGE, MS 39051-3809
(601) 267-1432
(601) 267-1211
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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