Organization
PICAYUNE REHABILITATION AND HEALTHCARE CENTER, LLC
Active
Parent organization
ARK MISSISSIPPI HOLDING COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARK MISSISSIPPI HOLDING COMPANY, LLC
Authorized official
MICHELLE D MEER (VICE PRESIDENT & SECRETARY)
(629) 626-0000
Entity
Organization
Contact information
Practice address
1620 READ RD, PICAYUNE, MS 39466-2710
(601) 798-1811
(601) 798-2362
Mailing address
1620 READ RD, PICAYUNE, MS 39466-2710
(601) 798-1811
(601) 798-2362
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
593
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220283
—
MS
Enumeration date
09/28/2007
Last updated
10/18/2017
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