Bedford Care Center Of Petal, Llc

LBN: Bedford Care Center Of Petal, Llc
Bedford Care Center Of Petal, Llc is an health care organization with primary practice located at 908 South George Street , Petal MS 39465-2014. 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. Bedford Care Center Of Petal, Llc can be contacted via phone (601) 544-7441, or through Worrel, Stephen A. via phone (601) 583-3232.

Contact Information

Primary practice address
908 South George Street Petal MS 39465-2014
Phone: (601) 544-7441
Fax: (601) 582-3217
Website:
Map and Directions
Authorized official contact:
Name: Worrel, Stephen A.
Phone: (601) 583-3232

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 140 Mississippi

Profile Details

NPI number 1235111311
LBN Legal business name Bedford Care Center Of Petal, Llc
DBA Doing business as
Authorized official Worrel, Stephen A.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 15th, 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 1235111311 NPPES
Mississippi MEDICAID 00230155
Mississippi Other 000080355

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