Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Hattiesburg Convalescent Home, Inc

Organization Pharmacist · NPI 1366584708

Hattiesburg Convalescent Home, Inc provides Pharmacist services in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

514 Bay St
Hattiesburg, MS 39401-3933
Phone: (601) 544-4230
Fax: (601) 582-2480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0017704.1 (MS)
Skilled Nursing Facility Taxonomy 314000000X · Licence 25 (MS)

Record details

NPI number1366584708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jewell McMahan — Administrator · (601) 544-4230
Other names Hattiesburg Convalescent Center
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address514 Bay St, Hattiesburg, MS 39401-3933

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