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Organization

DELCO INC DBA BROOKWOOD MANOR NURSING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLIE HILL (ADMINISTRATOR)
(601) 394-2331
Entity
Organization

Contact information

Practice address
1300 MELODY LANE, LEAKESVILLE, MS 39451-0640
(601) 394-2331
(601) 394-2738
Mailing address
1300 MELODY LANE, LEAKESVILLE, MS 39451-0640
(601) 394-2331
(601) 394-2738

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
620
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00230133
MS
Enumeration date
07/13/2006
Last updated
12/24/2007
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