Organization
PEDIATRUST COLUMBUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN CRAIG (CEO)
(225) 252-7633
Entity
Organization
Contact information
Practice address
2213 5TH ST N, COLUMBUS, MS 39705-2211
(662) 570-1957
(662) 470-1035
Mailing address
6700 JEFFERSON HIGHWAY, BUILDING 12, STE B, BATON ROUGE, LA 70806
(225) 665-6555
(225) 665-6555
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
10/23/2023
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