Organization · Type 2 NPI

Leake Extended Care Facility

Nursing Facility/Intermediate Care Facility · Carthage, MS

NPI number 1750456034 Active

Practice location

310 Ellis St
Carthage, MS 39051-3809

Fax (601) 267-1211

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X214 (MS)

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 1750456034

Leake Extended Care Facility's National Provider Identifier is 1750456034, issued on Nov 21, 2006. 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 Aug 22, 2020.