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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY LAWN, LLC

Active Organization

SHADY LAWN, LLC is a Skilled Nursing Facility organization located in VICKSBURG, Mississippi. NPI 1184613143 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · VICKSBURG, MS

Registration Details

NPI Number
1184613143
Provider Type
Organization
NPI Issued
Oct 20, 2005 (20.827341451724 yrs)
Last Updated
May 24, 2018
License
182 (MS)

Practice Information

Address
60 SHADY LAWN PL
VICKSBURG, MS, 39180
Browse MS providers · Browse ZIP 39180
Phone
6016361448
Fax
6016368811
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.