Basic Information
| Provider Information | |||||||||
| NPI: | 1659011567 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PARKWAY HEALTH & REHAB, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13 NORTHTOWN DR STE 220 | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392113047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019568276 | ||||||||
| FaxNumber: | 6017090832 | ||||||||
| Practice Location | |||||||||
| Address1: | 230 RIVER OAKS DRIVE | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 390463904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019568276 | ||||||||
| FaxNumber: | 6017090832 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2022 | ||||||||
| LastUpdateDate: | 03/30/2022 | ||||||||
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| AuthorizedOfficialLastName: | SHELTON | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER/SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 6019568276 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.