CCN: 255292 NPI: 1447208228 Organization

LEGACY MANOR NURSING AND REHABILITATION

1935 N THEOBALD STREET EXT
GREENVILLE, MS 387032244

Contact Information

Phone 6623344501
Fax 6623354989
Enumeration Date 2006-05-04
Last Updated 2013-04-30

Taxonomies

Code: 314000000X (Primary) License State: MS License: 445

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 0.9927576742

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 0.992

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 0.980278308

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 1.0

censusDivision 5

cbsaActualGeographicLocation 25

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.