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Vicksburg Convalescent, Llc
Skilled Nursing Facility in Vicksburg, Mississippi
NPI 1578553459

Vicksburg Convalescent, Llc is a Skilled Nursing Facility based in Brentwood, MS. Vicksburg Convalescent, Llc practices in Vicksburg, MS. The NPI Number for Vicksburg Convalescent, Llc is 1578553459 and holds a License No. 176 (Mississippi).

The current practice location address for Vicksburg Convalescent, Llc is 1708 Cherry St, Vicksburg, MS and can be reached out via phone at 601-638-3632 and via fax at 601-638-3998.

Location: 1708 Cherry St, Vicksburg, MS, 37027-2755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578553459
Provider Name
Vicksburg Convalescent, Llc
Credential
Provider Entity Type
Organization
Address
1708 Cherry St, Vicksburg, MS, 37027-2755
Phone Number
601-638-3632
Fax Number
601-638-3998
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00220334 05 MS
institution
Provider Business Practice Location Address Details
Address
1708 Cherry St
City
Vicksburg
State
Mississippi
Zip
39180
Phone Number
601-638-3632
Fax Number
601-638-3998
person
Provider Business Mailing Address Details
Address
1708 Cherry St
City
Vicksburg
State
Mississippi
Zip
39180
Phone Number
601-638-3632
Fax Number
601-638-3998
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
176 (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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