Azalea Gardens Nursing Center, Llc

LBN: Azalea Gardens Nursing Center, Llc
Azalea Gardens Nursing Center, Llc is an health care organization with primary practice located at 530 Hall St , Wiggins MS 39577-2631. 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. Azalea Gardens Nursing Center, Llc can be contacted via phone (601) 928-5281, or through Cain, Avonna Catherine via phone (601) 928-5281.

Contact Information

Primary practice address
530 Hall St Wiggins MS 39577-2631
Phone: (601) 928-5281
Fax: (601) 928-9090
Website:
Map and Directions
Authorized official contact:
Name: Cain, Avonna Catherine
Phone: (601) 928-5281

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 195 Mississippi

Profile Details

NPI number 1366531725
LBN Legal business name Azalea Gardens Nursing Center, Llc
DBA Doing business as
Authorized official Cain, Avonna Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 18th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366531725 NPPES
Mississippi MEDICAID 00023012
Mississippi MEDICAID 23012

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