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Organization

HOLMES COUNTY LONG TERM CARE CENTER - DURANT

Active
Other names
Holmes County Long Term Care Center - Durant
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM L KENNEDY (DIRECTOR OF PATIENT FINANCIAL SERVI)
(601) 984-4680
Entity
Organization

Contact information

Practice address
15481 BOWLING GREEN RD, DURANT, MS 39063-3565
(662) 834-1321
Mailing address
15481 BOWLING GREEN RD, DURANT, MS 39063-3565
(662) 834-1321

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
652
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00220267
MS
Enumeration date
10/25/2006
Last updated
01/09/2008
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