NPI 1023182235

Cncl, LLC

Organisation Skilled Nursing Facility Starkville, MS

Practice location

Address: 307 Reed Rd, Starkville, MS 39759-2438
Phone: (662) 323-2202
Fax: (662) 323-2414
Mailing address: PO Box 2712, Ridgeland, MS 39158-2712

Authorised official

Name: David Rotolo
Title: Member
Phone: (601) 853-2667

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 964 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1023182235
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 20 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.