- Enrollment id
- O20160328000621
- Enrollment state
- MS
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1598139248
- Multiple npi flag
- N
- Ccn
- 255334
- Associate id
- 8426355041
- Organization name
- TUNICA COUNTY HEALTH & REHAB LLC
- Incorporation date
- 2015-11-17
- Incorporation state
- MS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- TUNICA COUNTY HEALTH & REHAB, LLC
- Affiliation entity name
- THE BEEBE FAMILY
- Affiliation entity id
- 779
- Address line 1
- 1024 HWY 61 SOUTH
- City
- TUNICA
- State
- MS
- Zip code
- 386769440