NPI 1477501922

Community Care Center of Grenada, LLC

Organisation Skilled Nursing Facility Grenada, MS

Practice location

Address: 1950 Grandview Drive, Grenada, MS 38901-1674
Phone: (662) 226-9554
Fax: (662) 226-5537

Authorised official

Name: Toni Parkinson
Title: Authorized Representative
Phone: (601) 709-1408

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 413 (MS)

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1477501922
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 30 Apr 2013

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.