Organization
YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE JEAN HELM (NURSING HOME INSURANCE)
(662) 473-1411
Entity
Organization
Contact information
Practice address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1411
(662) 473-4922
Mailing address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1411
(662) 473-4922
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
224
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023158
—
MS
05
—
00440552
—
MS
Enumeration date
11/08/2006
Last updated
04/16/2008
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