Providence Pcc of Senatobia, LLC
NPI #1275849671 in Senatobia, Mississippi
Provider Information
- NPI Number
- 1275849671
- Entity Type
- Organization
- Organization Name
- Providence Pcc of Senatobia, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 23, 2010
- Last Updated
- Aug 23, 2010
Practice Location
- Address
- 700 MOORES XING
- City
- Senatobia
- State
- Mississippi
- ZIP Code
- 38668-8004
- Phone
- (662) 562-9229
Authorized Official
- Name
- MELANIE ISAACKS
- Title
- DIRECTOR
- Phone
- (662) 562-9229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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