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Hattiesburg Convalescent Home, Inc.
Skilled Nursing Facility in Hattiesburg, Mississippi
NPI 1366584708

Hattiesburg Convalescent Home, Inc. is a Skilled Nursing Facility based in Hattiesburg, MS. Hattiesburg Convalescent Home, Inc. practices in Hattiesburg, MS. The NPI Number for Hattiesburg Convalescent Home, Inc. is 1366584708 and holds a License No. 0017704.1 (Mississippi).

The current practice location address for Hattiesburg Convalescent Home, Inc. is 514 Bay St, Hattiesburg, MS and can be reached out via phone at 601-544-4230 and via fax at 601-582-2480.

Location: 514 Bay St, Hattiesburg, MS, 39401-3933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366584708
Provider Name
Hattiesburg Convalescent Home, Inc.
Credential
Provider Entity Type
Organization
Address
514 Bay St, Hattiesburg, MS, 39401-3933
Phone Number
601-544-4230
Fax Number
601-582-2480
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0023061 05 MS
00036421 05 MS
institution
Provider Business Practice Location Address Details
Address
514 Bay St
City
Hattiesburg
State
Mississippi
Zip
39401-3933
Phone Number
601-544-4230
Fax Number
601-582-2480
person
Provider Business Mailing Address Details
Address
514 Bay St
City
Hattiesburg
State
Mississippi
Zip
39401-3933
Phone Number
601-544-4230
Fax Number
601-582-2480
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
25 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0017704.1 (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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