SHADY LAWN, LLC

Skilled Nursing Facility

Active Organization
NPI: 1184613143

Practice Address

60 SHADY LAWN PL
Vicksburg, MS 39180

Phone: (601) 636-1448

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 182 (MS)

Frequently Asked Questions

NPI 1184613143 is the National Provider Identifier for SHADY LAWN, LLC, a Skilled Nursing Facility provider located in Vicksburg, MS. This NPI was enumerated on October 20, 2005.

Quick Facts

NPI
1184613143
Type
Organization
Enumerated
Oct 20, 2005
Last Updated
May 24, 2018

Nearby Providers