Organization
MISSISSIPPI COMMCARE CORPORATION A NON PROFIT CORPORATION
Active
Other names
Tupelo Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (VICE PRESIDENT)
(504) 324-8950
Entity
Organization
Contact information
Practice address
1901 BRIAR RIDGE RD, TUPELO, MS 38804-5903
(662) 844-0675
(662) 842-6838
Mailing address
950 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3082
(504) 324-8950
(985) 624-3477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
416
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080432
BC BS OF MISSISSIPPI
MS
05
—
001077271
—
MS
05
—
01077271
—
MS
Enumeration date
11/20/2006
Last updated
07/15/2026
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