NPI 1881831584

Charleston Place

Organisation Assisted Living Facility Fulton, MS

Practice location

Address: 804 S Adams St, Fulton, MS 38843-6049
Phone: (662) 862-2465
Fax: (662) 862-9525
Mailing address: PO Box 127, Fulton, MS 38843-0127

Authorised official

Name: Jackie Jones
Title: Financial Cordinator
Phone: (662) 862-2165

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 1017 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1881831584
Entity type: Organization
NPI issued: 16 Jan 2009
Record last updated: 27 Oct 2014

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.