Covenant Health & Rehab of Picayune, LP
Organization Active NPI Skilled Nursing Facility · Picayune, MS
NPI 1629028352 · NPPES record last updated Aug 10, 2007
Key facts
- NPI
- 1629028352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 593 (MS)
- Legal business name
- COVENANT HEALTH & REHAB OF PICAYUNE, LP
- Practice address
- 1620 Read Rd
Picayune, MS 39466-2710 - Phone
- (601) 798-1811
- Fax
- (601) 798-2362
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Judy Ullery
- Title
- President
- Phone
- (901) 937-7994
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 593 | MS | Yes |
Addresses
Primary practice location
1620 Read Rd
Picayune, MS 39466-2710
Mailing address
1620 Read Rd
Picayune, MS 39466-2710
Phone (601) 798-1811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0220283 | Medicaid | MS |
Other providers in Picayune, MS
- Communication Connection, LLC
- Community Home Care Pharmacy Inc.
- Jaime Conerly-Sylvas
- Nicole Cousin
- Covenant Health & Rehab of Picayune, LLC
- Creekside Pediatric Therapy LLC
- Robert Joseph Crochet III
- Timothy James Cuevas
- Cynthia V Aly- Jean-Pierre
- Joseph J Daho
All providers in Picayune, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.