NPI 1831371210

Bedford Alzheimers Care Center, LLC

Organisation Alzheimer Center (Dementia Center) Hattiesburg, MS

Practice location

Address: 300 Cahal St Suite B, Hattiesburg, MS 39401-2922
Phone: (601) 582-9157
Fax: (601) 582-2639
Mailing address: 300 Cahal St, Hattiesburg, MS 39401-2922

Authorised official

Name: Jack a Bevon, III
Title: Administrator
Phone: (601) 582-9157

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 1008 (MS)

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Registry record

NPI: 1831371210
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 28 Nov 2007

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.