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Organization

MEADVILLE LLC

Active
Other names
Meadville Convalescent Home
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA A RYLEE ADMINISTRATOR (ADMINISTRATOR)
(601) 384-5861
Entity
Organization

Contact information

Practice address
300 HIGHWAY 556, MEADVILLE, MS 39653
(601) 384-5861
(601) 384-5862
Mailing address
300 HIGHWAY 556, MEADVILLE, MS 39653
(601) 384-5861
(601) 384-5862

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
603
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00230141
MS
Enumeration date
09/27/2005
Last updated
06/20/2008
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