Greenbough Health And Rehabilitation Center

LBN: 340 Desoto Avenue Ext Operations, Llc
Greenbough Health And Rehabilitation Center is an health care organization with primary practice located at 340 Desoto Avenue Ext , Clarksdale MS 38614-2814. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 340 Desoto Avenue Ext Operations, Llc can be contacted via phone (253) 278-2258, or through Walker, Jeron P via phone (704) 273-1580.

Contact Information

Primary practice address
340 Desoto Avenue Ext Clarksdale MS 38614-2814
Phone: (253) 278-2258
Fax: (662) 627-5654
Website:
Map and Directions
Authorized official contact:
Name: Walker, Jeron P
Phone: (704) 273-1580

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1932856531
LBN Legal business name 340 Desoto Avenue Ext Operations, Llc
DBA Doing business as Greenbough Health And Rehabilitation Center
Authorized official Walker, Jeron P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2022
Last updated Jun 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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