Organization
ALCORN COUNTY LTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI REYNOLDS (ADMINISTRATOR)
(662) 287-8071
Entity
Organization
Contact information
Practice address
3701 JOANN DR, CORINTH, MS 38834-9164
(662) 287-8071
(662) 287-8073
Mailing address
3701 JOANN DR, CORINTH, MS 38834-9164
(662) 287-8071
(662) 287-8073
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
914
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023004
—
MS
Enumeration date
12/21/2006
Last updated
11/06/2008
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