NPI 1518159862

Belhaven Senior Care

Organisation Skilled Nursing Facility Madison, MS

Practice location

Address: 111 Kelly Blvd, Madison, MS 39110
Phone: (601) 898-6080
Fax: (601) 898-6348

Authorised official

Name: Matthew Corley Wagner
Title: Administrator
Phone: (601) 898-6080

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 624 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1518159862
Entity type: Organization
NPI issued: 10 Aug 2007
Record last updated: 4 Oct 2024

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.