Trace Haven Health & Rehab

LBN: Dynamic Natchez Operating Company Llc
Trace Haven Health & Rehab is an health care organization with primary practice located at 344 Arlington Avenue , Natchez MS 39120-3551. 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 Natchez Operating Company Llc can be contacted via phone (601) 442-4393, or through Hodge, Vicki M via phone (601) 442-4393.

Contact Information

Primary practice address
344 Arlington Avenue Natchez MS 39120-3551
Phone: (601) 442-4393
Fax: (601) 446-8909
Website:
Map and Directions
Authorized official contact:
Name: Hodge, Vicki M
Phone: (601) 442-4393

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 513 Mississippi

Profile Details

NPI number 1144365784
LBN Legal business name Dynamic Natchez Operating Company Llc
DBA Doing business as Trace Haven Health & Rehab
Authorized official Hodge, Vicki M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 5 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 1144365784 NPPES
Mississippi MEDICAID 00230073

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