Grenada Lake Medical Center

NPI #1053386870 in Grenada, Mississippi

Provider Information

NPI Number
1053386870
Entity Type
Organization
Organization Name
Grenada Lake Medical Center
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 23, 2006
Last Updated
Dec 12, 2007

Practice Location

Address
960 AVENT DR
ZIP Code
38901-5230
Phone
(662) 227-7000

Authorized Official

Name
CHARLES L DENTON
Title
CEO
Phone
(662) 227-7005

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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