- Enrollment id
- O20110226000107
- Enrollment state
- MS
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1134420284
- Multiple npi flag
- N
- Ccn
- 255332
- Associate id
- 0749461507
- Organization name
- DURANT HEALTHCARE LLC
- Doing business as name
- HOLMES COUNTY LONG TERM CARE
- Incorporation date
- 2011-01-01
- Incorporation state
- MS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- HOLMES COUNTY LONG TERM CARE CENTER - DURANT
- Affiliation entity name
- TREND CONSULTANTS
- Affiliation entity id
- 522
- Address line 1
- 15481 BOWLING GREEN ROAD
- Address line 2
- HOLMES COUNTY LONG TERM CARE
- City
- DURANT
- State
- MS
- Zip code
- 390633565