Organization
GREENBRIAR NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVONNA CATHERINE CAIN (OWNER)
(228) 392-8484
Entity
Organization
Contact information
Practice address
4347 W GAY RD, DIBERVILLE, MS 39540-3412
(228) 392-8484
(228) 392-6262
Mailing address
4347 W GAY RD, DIBERVILLE, MS 39540-3412
(228) 392-8484
(228) 392-6262
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1010
MS
Other
Enumeration date
12/20/2007
Last updated
12/19/2014
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