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Organization

MISSISSIPPI COMMCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN HARVEY PSARELLIS (VICE PRESIDENT)
(504) 324-8950
Entity
Organization

Contact information

Practice address
355 CROSSGATES BLVD, BRANDON, MS 39042-2602
(601) 825-3192
(601) 825-6398
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
381
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080532
BC BS OF MISSISSIPPI
MS
05
002607288
MS
05
02607288
MS
Enumeration date
11/20/2006
Last updated
04/24/2026
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