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Leake Extended Care Facility
Nursing Facility/Intermediate Care Facility in Carthage, Mississippi
NPI 1750456034

Leake Extended Care Facility is a Nursing Facility/Intermediate Care Facility based in Carthage, MS. Leake Extended Care Facility practices in Carthage, MS. The NPI Number for Leake Extended Care Facility is 1750456034 and holds a License No. 214 (Mississippi).

The current practice location address for Leake Extended Care Facility is 310 Ellis St, Carthage, MS and can be reached out via phone at 601-267-1100 and via fax at 601-267-1211.

Location: 310 Ellis St, Carthage, MS, 39051-3809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750456034
Provider Name
Leake Extended Care Facility
Credential
Provider Entity Type
Organization
Address
310 Ellis St, Carthage, MS, 39051-3809
Phone Number
601-267-1100
Fax Number
601-267-1211
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00230186 05 MS
institution
Provider Business Practice Location Address Details
Address
310 Ellis St
City
Carthage
State
Mississippi
Zip
39051-3809
Phone Number
601-267-1100
Fax Number
601-267-1211
person
Provider Business Mailing Address Details
Address
310 Ellis St
City
Carthage
State
Mississippi
Zip
39051-3809
Phone Number
601-267-1100
Fax Number
601-267-1211
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
214 (Mississippi)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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