Organization · Type 2 NPI

Leake Ltc, LLC

Nursing Facility/Intermediate Care Facility · Carthage, MS

NPI number 1245684612 Active

Practice location

310 Ellis St
Carthage, MS 39051-3809

Fax (601) 267-1211

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

Nursing Facility/Intermediate Care Facility: 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 conditi…

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About NPI 1245684612

Leake Ltc, LLC's National Provider Identifier is 1245684612, issued on Apr 21, 2016. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Carthage, MS. The record was last updated on Apr 21, 2016.