State Veterans Affairs Board
Skilled Nursing Facility in Jackson, MS. Organization (NPI-2).
NPI number1982811642
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1982811642
- Entity type
- Organization (NPI-2)
- Legal business name
- State Veterans Affairs Board
- Organization subpart
- No
- Enumeration date
- May 16, 2007
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Ms State Veterans Affairs Board (Other Name)
Practice location
660 North StJackson, MS 39202-3141
Phone 601-576-4859 · Fax 601-576-4868
Mailing address
Po Box 3439Jackson, MS 39207-3439
Phone 601-576-4859 · Fax 601-576-4868
Other practice locations
3466 Highway 80 E
Pearl, MS 39208-4001
Pearl, MS 39208-4001
Phone 601-576-4864 · Fax 601-576-4868
Authorized official
Demetrice Watts
Cfo
6015764859
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