Community Care Center of Grenada, LLC

NPI #1477501922 in Grenada, Mississippi

Provider Information

NPI Number
1477501922
Entity Type
Organization
Organization Name
Community Care Center of Grenada, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 5, 2006
Last Updated
Apr 30, 2013

Practice Location

Address
1950 GRANDVIEW DRIVE
ZIP Code
38901-1674
Phone
(662) 226-9554

Authorized Official

Name
MRS. TONI PARKINSON
Title
AUTHORIZED REPRESENTATIVE
Phone
(601) 709-1408

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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