Church Street Manor Assisted Living, Inc
Church Street Manor Assisted Living, Inc is an Assisted Living Facility in Ecru, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
36 Elm LnEcru, MS 38841-9794
Phone: (662) 489-6462
Fax: (662) 489-6491
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1780287979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Long — President · (662) 401-8930 |
| NPI enumerated | November 19, 2020 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | Po Box 4150, Tupelo, MS 38803-4150 |