NPI 1083788053

Mississippi Commcare Corporation a Non Profit Corporation

Organisation Skilled Nursing Facility Jackson, MS

Practice location

Address: 3680 Lakeland Ln, Jackson, MS 39216-4707
Phone: (601) 982-5505
Fax: (601) 362-1883
Mailing address: 950 W Causeway Approach, Mandeville, LA 70471-3082

Authorised official

Name: Dawn Harvey Psarellis
Title: Vice President
Phone: (504) 324-8950

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 385 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1083788053
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 15 Jul 2026

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.