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Contact Information

WASHINGTON CARE CENTER, LLC
1620 LISA DRIVE
GREENVILLE, MS38703
 Phone: 662-335-2897
 Fax: 662-335-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WASHINGTON CARE CENTER, LLC

NPI Number 1497703755
LBN Legal business name WASHINGTON CARE CENTER, LLC
Authorized official RANDY BELTON - (AUTHORIZED REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 08/31/2007 - About 19 years ago
Identifiers
MS License # 989
MS Medicaid 04003561
MS Other 80454 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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