BEDFORD ALZHEIMERS CARE CENTER, LLC
Alzheimer Center
Hattiesburg, Mississippi
Provider NPI: 1831371210
Organization Information:Organization Name: BEDFORD ALZHEIMERS CARE CENTER, LLC
Practice Location:
300 CAHAL ST SUITE B HATTIESBURG, MS 39401 US
Tel: 601-582-9157 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
300 CAHAL ST SUITE B HATTIESBURG, MS 39401 US
Tel: 601-582-9157 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | MS | 1008 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00232558 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin