Grenada Lake Medical Center Dme
NPI #1295700011 in Grenada, Mississippi
Provider Information
- NPI Number
- 1295700011
- Entity Type
- Organization
- Organization Name
- Grenada Lake Medical Center Dme
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 960 AVENT DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5230
- Phone
- (662) 227-7000
Authorized Official
- Name
- MR. CHARLES L DENTON
- Title
- CEO
- Phone
- (662) 227-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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