Organization
STATE VETERANS AFFAIRS BOARD
Active
Parent organization
STATE VETERANS AFFAIRS BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE VETERANS AFFAIRS BOARD
Authorized official
PICCOLAR JOHNSON (ADMINISTRATOR)
(601) 942-8571
Entity
Organization
Contact information
Practice address
11721 TRADITION PARKWAY, BILOXI, MS 39532
(601) 942-8571
Mailing address
11721 TRADITION PARKWAY, BILOXI, MS 39532
(601) 942-8571
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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