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340 Desoto Avenue Ext Operations, Llc
Skilled Nursing Facility in Clarksdale, Mississippi
NPI 1932856531

340 Desoto Avenue Ext Operations, Llc is a Skilled Nursing Facility based in Clarksdale, MS. 340 Desoto Avenue Ext Operations, Llc practices in Clarksdale, MS. The NPI Number for 340 Desoto Avenue Ext Operations, Llc is 1932856531 and holds a License No. (Mississippi).

The current practice location address for 340 Desoto Avenue Ext Operations, Llc is 340 Desoto Avenue Ext, Clarksdale, MS and can be reached out via phone at 253-278-2258 and via fax at 662-627-5654.

Location: 340 Desoto Avenue Ext, Clarksdale, MS, 38614-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932856531
Provider Name
340 Desoto Avenue Ext Operations, Llc
Credential
Provider Entity Type
Organization
Address
340 Desoto Avenue Ext, Clarksdale, MS, 38614-2814
Phone Number
253-278-2258
Fax Number
662-627-5654
Provider Enumeration Date
03/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
340 Desoto Avenue Ext
City
Clarksdale
State
Mississippi
Zip
38614-2814
Phone Number
253-278-2258
Fax Number
662-627-5654
person
Provider Business Mailing Address Details
Address
340 Desoto Avenue Ext
City
Clarksdale
State
Mississippi
Zip
38614-2814
Phone Number
253-278-2258
Fax Number
662-627-5654
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
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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Skilled Nursing Facility
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38614-2814
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