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2nd Generation Healthcare, LLC — NPI 1356651772, Columbia, MS | NPI Central

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NPI 1356651772

OrganizationActive

2nd Generation Healthcare, LLC

NPI 1356651772 · Skilled Nursing Facility · Columbia, MS

Provider details

NPI number: 1356651772
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Michael Bradshaw, Administrator(601) 736-4747
License: 461 (MS)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 461 (MS)
Nursing & Custodial Care Facilities

Practice location

11 Pecan Drive

Columbia, MS 39429

Phone: (601) 736-4747

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

11 Pecan Drive

Columbia, MS 39429

Other names (DBA / former)

Other name: The Grove Outpatient Therapy Clinic
Other name: The Grove Outpatient Therapy Clinic

Registry dates

Enumerated: 2010-10-19
Last updated: 2018-06-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.