NPI 1295700011

Grenada Lake Medical Center Dme

Organisation Durable Medical Equipment & Medical Supplies Grenada, MS

Practice location

Address: 960 Avent Dr, Grenada, MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534

Authorised official

Name: Charles L Denton
Title: Ceo
Phone: (662) 227-7000

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 11245 (MS)

Other Durable Medical Equipment & Medical Supplies providers in Mississippi →

Registry record

NPI: 1295700011
Entity type: Organization
NPI issued: 23 Feb 2006
Record last updated: 22 Aug 2020

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.