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Organization

WINDSOR PLACE NURSING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLIVER LESTER PHILLIPS JR. (CEO)
(662) 241-5518
Entity
Organization

Contact information

Practice address
81 WINDSOR BLVD, COLUMBUS, MS 39702
(662) 241-5518
(662) 241-5590
Mailing address
81 WINDSOR BLVD, COLUMBUS, MS 39702
(662) 241-5518
(662) 241-5590

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
865
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00230147
MS
Enumeration date
08/02/2006
Last updated
08/22/2020
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