Organization
MISSISSIPPI COMMCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (VICE PRESIDENT)
(504) 324-8950
Entity
Organization
Contact information
Practice address
4036 HIGHWAY 8 EAST, CLEVELAND, MS 38732
(662) 843-4014
(662) 843-5401
Mailing address
950 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3082
(504) 324-8950
(985) 624-3477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
380
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080386
BC BS OF MISSISSIPPI
MS
05
—
005621394
—
MS
05
—
05621394
—
MS
Enumeration date
11/21/2006
Last updated
04/24/2026
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