Organization · Type 2 NPI

MS Greenbough LLC

Skilled Nursing Facility · Clarksdale, MS

NPI number 1548420086 Active

Practice location

340 Desoto Avenue Ext
Clarksdale, MS 38614-2814

Call (662) 627-3486 Map

Mailing address

40 Palafox Pl, Suite 400
Pensacola, FL 32502-5697

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (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 r…

4 other providers at this address

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NPI record

NPI: 1548420086
Entity type: Organization (Type 2)
Issued: Jun 9, 2008
Last updated: Oct 5, 2015
Status: Active
Subpart: Yes of Gulf Coast Facilities LLC

Other names

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Greenbough Health and Rehabilitation Center · doing business as

Authorized official

James Richardson
President
(850) 430-0000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548420086

MS Greenbough LLC's National Provider Identifier is 1548420086, issued on Jun 9, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Clarksdale, MS. The record was last updated on Oct 5, 2015.