NPI 1245684612
Leake Ltc, LLC
Practice location
- Address
- 310 Ellis St, Carthage, MS 39051-3809
- Phone
- (601) 267-1432
- Fax
- (601) 267-1211
Authorised official
- Name
- Brien B Hubbard
- Title
- Manager
- Phone
- (601) 849-2294
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1245684612
- Entity type
- Organization
- NPI issued
- 21 Apr 2016
- Record last updated
- 21 Apr 2016
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.