NPI 1659747988

Aging Gracefully Community Center

Organisation Adult Care Home Facility Hazlehurst, MS

Practice location

Address: 16165 Highway 51, Hazlehurst, MS 39083-2002
Phone: (601) 894-1120
Fax: (844) 270-3071

Authorised official

Name: Carol Newton
Title: Executive Director
Phone: (601) 894-1120

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Mississippi →

Registry record

NPI: 1659747988
Entity type: Organization
NPI issued: 20 Aug 2015
Record last updated: 20 Aug 2015

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.