Community Care Center Of Grenada, LLC
Skilled Nursing Facility in Grenada, MS. Organization (NPI-2).
NPI number1477501922
StatusActive
Last updated in NPPESApr 30, 2013
Details
- NPI
- 1477501922
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Center Of Grenada, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2006
- Last updated
- Apr 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 413 | MS | Yes |
Other names
- Grenada Living Center (Doing Business As)
Practice location
1950 Grandview DriveGrenada, MS 38901-1674
Phone 662-226-9554 · Fax 662-226-5537
Mailing address
1950 Grandview DriveGrenada, MS 38901-1674
Phone 662-226-9554 · Fax 662-226-5537
Authorized official
Toni Parkinson
Authorized Representative
6017091408
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Other Skilled Nursing Facility providers in Grenada, MS
- Grenada Lake Medical CenterNPI 1053386870
- Grenada Rehabilitation And Healthcare Center, LLCNPI 1720038425
- Nexion Health At Grenada, INC.NPI 1922591973
- State Of Mississippi-University Of Mississippi Medical CenterNPI 1891122727
All 5 Skilled Nursing Facility providers in Grenada · All 342 providers in Grenada
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