Bolivar Health And Rehabiliation Center

LBN: Dynamic Cleveland Operating Company Llc
Bolivar Health And Rehabiliation Center is an health care organization with primary practice located at 200 N Martin Luther King Dr , Cleveland MS 38732-2821. 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. Dynamic Cleveland Operating Company Llc can be contacted via phone (662) 843-5347, or through Davis, Sherry via phone (662) 843-5347.

Contact Information

Primary practice address
200 N Martin Luther King Dr Cleveland MS 38732-2821
Phone: (662) 843-5347
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Sherry
Phone: (662) 843-5347

Health care specialties

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

Profile Details

NPI number 1770602435
LBN Legal business name Dynamic Cleveland Operating Company Llc
DBA Doing business as Bolivar Health And Rehabiliation Center
Authorized official Davis, Sherry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1770602435 NPPES
Mississippi MEDICAID 00230065

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