| NPI | 1477501922 |
|---|---|
| Doing Business As | GRENADA LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | TONI PARKINSON Authorized Representative 601-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 413) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-04-30 |