MS State Veterans Home Kosciusko
MS State Veterans Home Kosciusko is a Skilled Nursing Facility in Kosciusko, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.
- Licensed in
- MS
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
310 Autumn Ridge DrKosciusko, MS 39090-3242
Phone: (662) 290-3000
Fax: (662) 289-7824
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 806 (MS) |
|---|---|
| Institutional Pharmacy | Taxonomy 3336I0012X |
Record details
| NPI number | 1295220598 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | MS State Veterans Affairs Board |
| Authorized official | David Poche — Pharmacist · (662) 290-3000 |
| NPI enumerated | June 28, 2018 |
| Last updated in NPPES | November 10, 2022 |
| Certification date | November 10, 2022 |
| Mailing address | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 |
Other providers in Kosciusko
-
Attala Community Care Center LLC
326 Highway 12 W, Kosciusko, MS 39090-3209 · (662) 289-1200