Providence Pcc Of Grenada, Llc - Grenada, MS

Providence Pcc Of Grenada, Llc

Assisted Living Facility in Grenada, Mississippi

NPI 1477869881

Providence Pcc Of Grenada, Llc is an Assisted Living Facility based in Grenada, MS. Providence Pcc Of Grenada, Llc practices in Grenada, MS. The NPI Number for Providence Pcc Of Grenada, Llc is 1477869881 and holds a License No. 777 (Mississippi).

The current practice location address for Providence Pcc Of Grenada, Llc is 1855 Hill Dr, Grenada, MS and can be reached out via phone at 662-226-8556 and via fax at 662-229-0556.

Location: 1855 Hill Dr, Grenada, MS, 38901-5003

NPI Number

1477869881

Provider Name

Providence Pcc Of Grenada, Llc

Credential

Provider Entity Type

Organization

Address

1855 Hill Dr, Grenada, MS, 38901-5003

Phone Number

662-226-8556

Fax Number

662-229-0556

Provider Enumeration Date

08/23/2010

Last Update Date

03/09/2024

Address

1855 Hill Dr

City

Grenada

State

Mississippi

Zip

38901-5003

Phone Number

662-226-8556

Fax Number

662-229-0556

Address

1855 Hill Dr

City

Grenada

State

Mississippi

Zip

38901-5003

Phone Number

662-226-8556

Fax Number

662-229-0556

Type

Nursing & Custodial Care Facilities

Classification

Assisted Living Facility

Speciality

Taxonomy

310400000X

License No.

777 (Mississippi)

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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