BEDFORD CARE CENTER OF HATTIESBURG, LLC
Skilled Nursing Facility
Hattiesburg, Mississippi
Provider NPI: 1811979990
Organization Information:Organization Name: BEDFORD CARE CENTER OF HATTIESBURG, LLC
Practice Location:
10 MEDICAL BLVD HATTIESBURG, MS 39401 US
Tel: 601-264-3709 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:
10 MEDICAL BLVD HATTIESBURG, MS 39401 US
Tel: 601-264-3709 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MS | 237 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS PROVIDER NUMBER | 000080352 | MS | 01 |
00230158 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin