Organization
DESOTO COMMUNITY CARE CENTER LLC
Active
Other names
Landmark of Desoto
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
3068 NAIL RD W, HORN LAKE, MS 38637-3002
(662) 280-1219
(662) 280-4668
Mailing address
3068 NAIL RD W, HORN LAKE, MS 38637-3002
(662) 280-1219
(662) 280-4668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
943
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080379
BLUE CROSS BLUE SHIELD MS
MS
05
—
00230171
—
MS
Enumeration date
05/04/2006
Last updated
04/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us