Northside Haven Association, Inc.
NPI #1063530467 in Lexington, Mississippi
Provider Information
- NPI Number
- 1063530467
- Entity Type
- Organization
- Organization Name
- Northside Haven Association, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 50 PATTON PLACE RD
- City
- Lexington
- State
- Mississippi
- ZIP Code
- 39095-5851
- Phone
- (662) 834-3344
Authorized Official
- Name
- MRS. ZELPHA MONTGOMERY WHATLEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 834-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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