Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE PCC OF GRENADA, LLC
Active OrganizationPROVIDENCE PCC OF GRENADA, LLC is a Assisted Living Facility organization located in GRENADA, Mississippi. NPI 1477869881 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · GRENADA, MS
Registration Details
- NPI Number
- 1477869881
- Provider Type
- Organization
- NPI Issued
- Aug 23, 2010 (16.003872529423 yrs)
- Last Updated
- Aug 23, 2010
- License
-
777 (MS)
Practice Information
- Address
-
1855 HILL DRGRENADA, MS, 389015003Browse MS providers · Browse ZIP 38901
- Phone
- 6622268556
- Fax
- 6622290556
- Primary Specialty
-
Assisted Living Facility
310400000X
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.