Organization
SILVER CROSS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUSSIE W ASHLEY (ADMINISTRATOR)
(601) 833-2361
Entity
Organization
Contact information
Practice address
503 SILVER CROSS DR, BROOKHAVEN, MS 39601-2388
(601) 833-2361
(601) 833-3115
Mailing address
503 SILVER CROSS DR, BROOKHAVEN, MS 39601-2388
(601) 833-2361
(601) 833-3115
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
175
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023136
—
MS
Enumeration date
03/06/2007
Last updated
11/19/2007
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