Providence Pcc of Grenada, LLC
Providence Pcc of Grenada, LLC is an Assisted Living Facility in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.
- Licensed in
- MS
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1855 Hill DrGrenada, MS 38901-5003
Phone: (662) 226-8556
Fax: (662) 229-0556
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 · Licence 777 (MS) |
|---|
Record details
| NPI number | 1477869881 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Mitchell — Executive Director · (662) 226-8556 |
| NPI enumerated | August 23, 2010 |
| Last updated in NPPES | August 23, 2010 |
| Mailing address | 1855 Hill Dr, Grenada, MS 38901-5003 |