Shady Lawn Health And Rehabilitation

LBN: Shady Lawn, Llc
Shady Lawn Health And Rehabilitation is an health care organization with primary practice located at 60 Shady Lawn Pl , Vicksburg MS 39180. 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. Shady Lawn, Llc can be contacted via phone (601) 636-1448, or through Orand, William D. via phone (615) 250-7100.

Contact Information

Primary practice address
60 Shady Lawn Pl Vicksburg MS 39180
Phone: (601) 636-1448
Fax: (601) 636-8811
Website:
Map and Directions
Authorized official contact:
Name: Orand, William D.
Phone: (615) 250-7100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 182 Mississippi

Profile Details

NPI number 1184613143
LBN Legal business name Shady Lawn, Llc
DBA Doing business as Shady Lawn Health And Rehabilitation
Authorized official Orand, William D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2005
Last updated May 24th, 2018 - about 7 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 1184613143 NPPES
Mississippi MEDICAID 00220335

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