PROVIDENCE PCC OF GRENADA, LLC

Assisted Living Facility

Active Organization
NPI: 1477869881

Practice Address

1855 HILL DR
Grenada, MS 38901

Phone: (662) 226-8556

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 777 (MS)

Frequently Asked Questions

NPI 1477869881 is the National Provider Identifier for PROVIDENCE PCC OF GRENADA, LLC, a Assisted Living Facility provider located in Grenada, MS. This NPI was enumerated on August 23, 2010.

Quick Facts

NPI
1477869881
Type
Organization
Enumerated
Aug 23, 2010
Last Updated
Aug 23, 2010

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