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Grenada Lake Medical Center
Home Health Agency in Grenada, Mississippi
NPI 1144295965

Grenada Lake Medical Center is a Home Health Agency based in Grenada, MS. Grenada Lake Medical Center practices in Grenada, MS. The NPI Number for Grenada Lake Medical Center is 1144295965 and holds a License No. 11245 (Mississippi).

The current practice location address for Grenada Lake Medical Center is 960 Avent Dr, Grenada, MS and can be reached out via phone at 662-227-7000 and via fax at 662-227-7534.

Location: 960 Avent Dr, Grenada, MS, 38901-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144295965
Provider Name
Grenada Lake Medical Center
Credential
Provider Entity Type
Organization
Address
960 Avent Dr, Grenada, MS, 38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00070502 05 MS
institution
Provider Business Practice Location Address Details
Address
960 Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider Business Mailing Address Details
Address
960 Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
11245 (Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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