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Diversicare Of Tylertown, Llc
Skilled Nursing Facility in Tylertown, Mississippi
NPI 1083169072

Diversicare Of Tylertown, Llc is a Skilled Nursing Facility based in Brentwood, MS. Diversicare Of Tylertown, Llc practices in Tylertown, MS. The NPI Number for Diversicare Of Tylertown, Llc is 1083169072 and holds a License No. 390 (Mississippi).

The current practice location address for Diversicare Of Tylertown, Llc is 200 Medical Cir, Tylertown, MS and can be reached out via phone at 601-876-2107 and via fax at 601-876-5990.

Location: 200 Medical Cir, Tylertown, MS, 37027-2926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083169072
Provider Name
Diversicare Of Tylertown, Llc
Credential
Provider Entity Type
Organization
Address
200 Medical Cir, Tylertown, MS, 37027-2926
Phone Number
601-876-2107
Fax Number
601-876-5990
Provider Enumeration Date
08/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00023146 05 MS
institution
Provider Business Practice Location Address Details
Address
200 Medical Cir
City
Tylertown
State
Mississippi
Zip
39667-2069
Phone Number
601-876-2107
Fax Number
601-876-5990
person
Provider Business Mailing Address Details
Address
200 Medical Cir
City
Tylertown
State
Mississippi
Zip
39667-2069
Phone Number
601-876-2107
Fax Number
601-876-5990
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
390 (Mississippi)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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