Organization
LEXINGTON MANOR NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L ELLIS (COMPTROLLER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
56 ROCKPORT RD, LEXINGTON, MS 39095-5166
(662) 834-3021
(662) 834-4848
Mailing address
56 ROCKPORT RD, LEXINGTON, MS 39095-5166
(662) 834-3021
(662) 834-4848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
614
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230164
—
MS
Enumeration date
12/06/2005
Last updated
08/22/2020
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