- Enrollment id
- O20251209001521
- Enrollment state
- MS
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1477344711
- Multiple npi flag
- N
- Ccn
- 255166
- Associate id
- 1456845353
- Organization name
- ARABELLA HEALTH & WELLNESS OF MERIDIAN OPCO LLC
- Doing business as name
- ARABELLA HEALTH & WELLNESS OF MERIDIAN
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARABELLA HEALTH & WELLNESS OF MERIDIAN
- Affiliation entity name
- ARABELLA HEALTHCARE MANAGEMENT
- Affiliation entity id
- 633
- Address line 1
- 1201 28TH AVE
- City
- MERIDIAN
- State
- MS
- Zip code
- 393013810