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

PECAN GROVE

Active Organization

Nursing Facility/Intermediate Care Facility · ELLISVILLE, MS

Registration Details

NPI Number
1205904604
Provider Type
Organization
NPI Issued
Dec 1, 2006 (19.387175321341 yrs)
Last Updated
Aug 22, 2020
License
284 (MS)

Practice Information

Address
1101 HIGHWAY 11 S
ELLISVILLE, MS, 394374443
Browse MS providers · Browse ZIP 39437
Phone
6014779384
Fax
6014775700

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.