NPI 1124682570
Kpc Promise Hospital of Vicksburg LLC
Practice location
- Address
- 2100 Highway 61 N, Vicksburg, MS 39183-8211
- Phone
- (601) 883-3265
- Mailing address
- 900 N Federal Hwy STE 350, Boca Raton, FL 33432-2754
Authorised official
- Name
- William Thomas
- Title
- Secretary
- Phone
- (951) 987-8100
Registered specialties
Long Term Care Hospital
Primary
Registry record
- NPI
- 1124682570
- Entity type
- Organization
- NPI issued
- 30 Apr 2019
- Record last updated
- 1 Nov 2021
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.