Organization
SCCR,LLC
Active
Other names
Senatobia Convalescent Center & Rehab, SENATOBIA HEALTHCARE & REHAB, SENATOBIA CONVALESCENT CENTER & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RAY BLUNT (ADMINISTRATOR)
(662) 562-6554
Entity
Organization
Contact information
Practice address
402 GETWELL DR, SENATOBIA, MS 38668-2212
(662) 562-5664
(662) 562-0054
Mailing address
402 GETWELL DR, SENATOBIA, MS 38668-2212
(662) 562-5664
(662) 562-0054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
312
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440216
—
MS
Enumeration date
01/09/2007
Last updated
06/16/2018
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