Methodist Home Road Assisted Living
NPI #1215341979 in Jackson, Mississippi
Provider Information
- NPI Number
- 1215341979
- Entity Type
- Organization
- Organization Name
- Methodist Home Road Assisted Living
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 19, 2014
Practice Location
- Address
- 4560 METHODIST HOME RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-4201
- Phone
- (769) 257-7232
Authorized Official
- Name
- KIARA LASHAE JOHNSON
- Title
- MANAGER
- Phone
- (601) 918-6415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Mental Illness |
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