Public record

CMS Skilled Nursing Facility Enrollments

Npi: 1053615518 · 1 matching record

Enrollment id
O20110223001234
Enrollment state
MS
Provider type code
00-18
Provider type text
PART A PROVIDER - SKILLED NURSING FACILITY
Npi
1053615518
Multiple npi flag
N
Ccn
255331
Associate id
4183517253
Organization name
COVINGTON COUNTY HOSPITAL
Doing business as name
ARRINGTON LIVING CENTER
Incorporation date
1951-07-01
Incorporation state
MS
Organization type structure
GOVERNMENT
Proprietary nonprofit
N
Nursing home provider name
ARRINGTON LIVING CENTER
Address line 1
701 SOUTH HOLLY AVENUE
Address line 2
ARRINGTON LIVING CENTER
City
COLLINS
State
MS
Zip code
394283894

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