Aging Gracefully Community Center
NPI #1659747988 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1659747988
- Entity Type
- Organization
- Organization Name
- Aging Gracefully Community Center
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Aug 20, 2015
Practice Location
- Address
- 16165 HIGHWAY 51
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2002
- Phone
- (601) 894-1120
Authorized Official
- Name
- CAROL NEWTON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 894-1120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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