GRENADA LAKE MEDICAL CENTER DME

GRENADA, MS
NPI1295700011
Entity TypeOrganization
Authorized ContactCHARLES L DENTON
CEO
662-227-7000
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS  11245)
Enumeration Date2006-02-23
Last Update Date2020-08-22
Business Address
GRENADA LAKE MEDICAL CENTER DME
960 AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7000
Mailing Address
GRENADA LAKE MEDICAL CENTER DME
960 AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7000