NPI 1891122727

State of Mississippi-University of Mississippi Medical Center

Organisation Skilled Nursing Facility Grenada, MS

Practice location

Address: 960 Avent Dr, Grenada, MS 38901-5230
Phone: (662) 227-7000
Mailing address: 2500 North State Street, Jackson, MS 39216

Authorised official

Name: Kevin Cook
Title: Ceo
Phone: (601) 984-4113

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Mississippi →

Registry record

NPI: 1891122727
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 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.