Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCLC OF BOONEVILLE, LLC
Skilled Nursing Facility
Booneville, Mississippi
Provider NPI: 1447240122
Organization Information:Organization Name: CLC OF BOONEVILLE, LLC
Practice Location:
200 LONG ST BOONEVILLE, MS 38829 US
Tel: 662-728-6234 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:
200 LONG ST BOONEVILLE, MS 38829 US
Tel: 662-728-6234 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MS | 155 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0230175 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin