Organization
CARE GIVERS, LLC
Active
Other names
Clarksdale Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1120 RITCHIE AVE, CLARKSDALE, MS 38614-7535
(662) 627-2591
(662) 624-6233
Mailing address
1120 RITCHIE AVE, CLARKSDALE, MS 38614-7535
(662) 627-2591
(662) 624-6233
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
482
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023099
—
MS
01
—
80340
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/04/2006
Last updated
09/17/2020
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