NPI 1063530467

Northside Haven Association, INC.

Organisation Assisted Living Facility Lexington, MS

Practice location

Address: 50 Patton Place Rd, Lexington, MS 39095-5851
Phone: (662) 834-3344
Fax: (662) 834-3314

Authorised official

Name: Zelpha Montgomery Whatley
Title: Executive Director
Phone: (662) 834-3344

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 992 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1063530467
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 11 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.