OrganizationActive
1304 Walnut Street Operations, LLC
NPI 1598412199 · Skilled Nursing Facility · Waynesboro, MS
Provider details
- NPI number
- 1598412199
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Tim Lehner, Manager
Practice location
1304 Walnut St
Waynesboro, MS 39367-2232
Phone: (601) 735-9025
Fax: (601) 735-2865
Mailing address
1304 Walnut St
Waynesboro, MS 39367-2232
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.