Destiny Manor
NPI #1356992978 in Arcola, Mississippi
Provider Information
- NPI Number
- 1356992978
- Entity Type
- Organization
- Organization Name
- Destiny Manor
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 25, 2019
- Last Updated
- Sep 25, 2019
Practice Location
- Address
- 104 MARTIN LUTHER KING BLVD
- City
- Arcola
- State
- Mississippi
- ZIP Code
- 38722
- Phone
- (662) 827-7500
Authorized Official
- Name
- MAXINE D HARRIS
- Title
- MANAGER
- Phone
- (662) 378-7962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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