GRENADA LAKE MEDICAL CENTER

GRENADA, MS
NPI1144295965
Entity TypeOrganization
Authorized ContactCHARLES L DENTON
CEO
662-227-7005
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: MS  11245)
Enumeration Date2006-02-23
Last Update Date2007-12-10
Business Address
GRENADA LAKE MEDICAL CENTER
960 AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7000
Mailing Address
GRENADA LAKE MEDICAL CENTER
960 AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7000
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STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER