Mockingbird Assisted Living, LLC
NPI #1538719125 in Booneville, Mississippi
Provider Information
- NPI Number
- 1538719125
- Entity Type
- Organization
- Organization Name
- Mockingbird Assisted Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 16, 2019
- Last Updated
- Sep 16, 2019
Practice Location
- Address
- 1101 W CHAMBERS DR
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-6840
- Phone
- (662) 416-5469
Authorized Official
- Name
- MR. RONALD JOE GROOMS
- Title
- ADMINISTRATOR
- Phone
- (662) 596-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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