Covenant Health & Rehab Of Vicksburg, Lp

LBN: Covenant Health & Rehab Of Vicksburg, Lp
Covenant Health & Rehab Of Vicksburg, Lp is an health care organization with primary practice located at 2850 Porters Chapel Rd , Vicksburg MS 39180-1805. 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. Covenant Health & Rehab Of Vicksburg, Lp can be contacted via phone (601) 638-9211, or through Ullery, Judy via phone (901) 937-7994.

Contact Information

Primary practice address
2850 Porters Chapel Rd Vicksburg MS 39180-1805
Phone: (601) 638-9211
Fax: (601) 636-4986
Website:
Map and Directions
Authorized official contact:
Name: Ullery, Judy
Phone: (901) 937-7994

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 595 Mississippi

Profile Details

NPI number 1548210289
LBN Legal business name Covenant Health & Rehab Of Vicksburg, Lp
DBA Doing business as
Authorized official Ullery, Judy
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 10th, 2007 - about 18 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 1548210289 NPPES
Mississippi MEDICAID 0220282

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