25D0671692 CLIA NUMBER - MISSISSIPPI CARE CENTER OF ALCORN COUNTY

Laboratory Demographics

CLIA Number: 25D0671692

Facility Name: MISSISSIPPI CARE CENTER OF ALCORN COUNTY

Facility Address:
3701 JOANNE DRIVE
CORINTH, MS
ZIP 38834
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Facility Phone Number: 662 287-8071

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1821740051

Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

CLIA Record

Field Name	Field Value
CLIA Number	25D0671692
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	MISSISSIPPI CARE CENTER OF ALCORN COUNTY
Street	3701 JOANNE DRIVE
City	CORINTH
State	MS
ZIP	38834
Phone	662 287-8071
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024