NPI 1588940811
Baptist-Leake Extended Care Facility
Practice location
- Address
- 310 Ellis St, Carthage, MS 39051-3809
- Phone
- (601) 267-1432
- Fax
- (601) 267-1211
- Mailing address
- 350 N Humphreys Blvd, Memphis, TN 38120-2177
Authorised official
- Name
- Gregory M Duckett
- Title
- Sr Vp/ Clo
- Phone
- (901) 227-5233
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1588940811
- Entity type
- Organization
- NPI issued
- 1 Nov 2011
- Record last updated
- 30 Sep 2020
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.