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Organization

FORREST COUNTY GENERAL HOSPITAL

Active
Other names
Jefferson Davis Extended Care Facility
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD ANDREW WOODARD (CHIEF FINANCIAL OFFICER)
(601) 288-2892
Entity
Organization

Contact information

Practice address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-1172
(601) 792-1267
Mailing address
PO BOX 1288, PRENTISS, MS 39474-1288
(601) 792-1172
(601) 792-1267

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
254
MS

Other

Enumeration date
07/27/2011
Last updated
12/20/2011
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