Organization
LOUISVILLE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA LOUISE ELLIS (COMPTROLLER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
543 EAST MAIN STREET, LOUISVILLE, MS 39339
(662) 773-8047
Mailing address
323 HIGHLAND BLVD, NATCHEZ, MS 39120
(601) 304-0980
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
562
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230036
—
MS
Enumeration date
12/24/2008
Last updated
12/24/2008
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