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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRENADA LAKE MEDICAL CENTER

Active Organization

GRENADA LAKE MEDICAL CENTER is a Skilled Nursing Facility organization located in GRENADA, Mississippi. NPI 1053386870 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · GRENADA, MS

Registration Details

NPI Number
1053386870
Provider Type
Organization
NPI Issued
Feb 23, 2006 (20.48153130434 yrs)
Last Updated
Dec 12, 2007
License
11245 (MS)

Practice Information

Address
960 AVENT DR
GRENADA, MS, 389015230
Browse MS providers · Browse ZIP 38901
Phone
6622277000
Fax
6622277534
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.