Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PECAN GROVE
Active OrganizationPECAN GROVE is a Nursing Facility/Intermediate Care Facility organization located in ELLISVILLE, Mississippi. NPI 1205904604 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · ELLISVILLE, MS
Registration Details
- NPI Number
- 1205904604
- Provider Type
- Organization
- NPI Issued
- Dec 1, 2006 (19.708654730505 yrs)
- Last Updated
- Aug 22, 2020
- License
-
284 (MS)
Practice Information
- Address
-
1101 HIGHWAY 11 SELLISVILLE, MS, 394374443Browse MS providers · Browse ZIP 39437
- Phone
- 6014779384
- Fax
- 6014775700
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Other Nursing Facility/Intermediate Care Facility Organizations in ELLISVILLE, MS
| Name | NPI |
|---|---|
| HILLSIDE | 1306914700 |
| PAUL D. COTTEN | 1598833998 |
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.