NPI 1053503318

Wilkinson County Senior Care LLC

Organisation Skilled Nursing Facility Centreville, MS

Practice location

Address: 166 S Lafayette St, Centreville, MS 39631-3571
Phone: (601) 645-5253
Fax: (601) 645-6389
Mailing address: 166 S Lafayette Street P O Box 310, Centreville, MS 39631-0310

Authorised official

Name: Tina Ellis
Title: Comptroller
Phone: (601) 304-0980

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 379 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1053503318
Entity type: Organization
NPI issued: 10 Aug 2007
Record last updated: 10 Aug 2007

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.