Organization
MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Active
Other names
Restorative Care Hospital at Baptist
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JACKSON (VICE PRESIDENT/CORPORATE CONTROLLER)
(601) 968-5130
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-5130
(601) 968-1383
Mailing address
PO BOX 23090, JACKSON, MS 39225-3090
(601) 968-1362
(601) 292-4592
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
23-319
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220174
—
MS
Enumeration date
07/04/2006
Last updated
12/05/2007
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