Organization
SINGING RIVER GULFPORT
Active
Other names
Singing River Gulfport Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WILLIAMS (PROVIDER ENROLLMENT SPECIALIST)
(228) 497-7576
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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