Organization
GREENE RURUAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA FAY HUNT (FACILITY ADMINISTRATOR)
(601) 394-2371
Entity
Organization
Contact information
Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-2371
(601) 394-5495
Mailing address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-2371
(601) 394-5495
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220134
—
MS
Enumeration date
10/04/2006
Last updated
10/26/2007
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