Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grenada Lake Medical Center

Organization Skilled Nursing Facility · NPI 1053386870

Grenada Lake Medical Center is a Skilled Nursing Facility in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 11245 (MS)

Record details

NPI number1053386870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Denton — Ceo · (662) 227-7005
NPI enumeratedFebruary 23, 2006
Last updated in NPPESDecember 12, 2007
Mailing address960 Avent Dr, Grenada, MS 38901-5230

Other providers in Grenada