NPI 1831556331

Falcon Crest Personal Care Assisted Living

Organisation Assisted Living Facility (Mental Illness) Hattiesburg, MS

Practice location

Address: 4 Falcon Ln, Hattiesburg, MS 39401-9350
Phone: (601) 336-4590
Fax: (601) 336-4598

Authorised official

Name: Susan M Parker
Title: Administrator
Phone: (601) 336-4590

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 1092 (MS)

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Registry record

NPI: 1831556331
Entity type: Organization
NPI issued: 28 Jan 2016
Record last updated: 28 Jan 2016

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.