NPI 1407118698

G.H.C. Incorporated

Organisation PACE Provider Organization Cleveland, MS

Practice location

Address: 548 Rosemary Rd STE C, Cleveland, MS 38732-2075
Phone: (662) 846-7412
Fax: (662) 846-0188
Mailing address: PO Box 145, Cleveland, MS 38732-0145

Authorised official

Name: Charline K. Brandon
Title: Administration
Phone: (662) 846-7412

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 1554 (MS)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Mississippi →

Registry record

NPI: 1407118698
Entity type: Organization
NPI issued: 13 Jun 2012
Record last updated: 13 Jun 2012

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.