NPI 1063628451

Community Care Center of Aberdeen

Organisation Skilled Nursing Facility Aberdeen, MS

Practice location

Address: 505 Jackson St, Aberdeen, MS 39730-3349
Phone: (662) 369-6431
Fax: (662) 369-6473

Authorised official

Name: David W Stallard
Title: Provider Representative
Phone: (601) 956-8884

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 561 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1063628451
Entity type: Organization
NPI issued: 15 May 2007
Record last updated: 29 Apr 2013

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.