NPI 1902612617

The Manor on Lawndale, INC.

Organisation Assisted Living Facility Tupelo, MS

Practice location

Address: 2429 Lawndale Dr STE a, Tupelo, MS 38801-6493
Phone: (662) 840-6163

Authorised official

Name: Kenneth Long
Title: President
Phone: (662) 401-8930

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1902612617
Entity type: Organization
NPI issued: 6 Dec 2024
Record last updated: 6 Dec 2024

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.