Organization
RANKIN COMMUNITY CARE CENTER LLC
Active
Other names
Brandon Court
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
100 BURNHAM RD, BRANDON, MS 39042-2534
(601) 664-2259
(601) 664-2260
Mailing address
100 BURNHAM RD, BRANDON, MS 39042-2534
(601) 664-2259
(601) 664-2260
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
921
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230174
—
MS
01
—
80371
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/04/2006
Last updated
04/30/2013
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