NPI 1730415035

Emeritus Corporation

Organisation Assisted Living Facility Hattiesburg, MS

Practice location

Address: 103 Fox Chase Dr, Hattiesburg, MS 39402-2575
Phone: (601) 271-2177
Fax: (601) 271-2411
Mailing address: 3131 Elliott Ave Suite 500, Seattle, WA 98121-1044

Authorised official

Name: Noelle Diaz
Title: Licensing Specialist
Phone: (206) 298-2909

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 882 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1730415035
Entity type: Organization
NPI issued: 22 Oct 2009
Record last updated: 22 Oct 2009

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.