Grenada Lake Medical Center DME
Grenada Lake Medical Center DME is a Durable Medical Equipment & Medical Supplies 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 DrGrenada, MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 11245 (MS) |
|---|
Record details
| NPI number | 1295700011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Denton — Ceo · (662) 227-7000 |
| NPI enumerated | February 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 960 Avent Dr, Grenada, MS 38901-5230 |
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