PROVIDENCE PCC OF GRENADA, LLC

GRENADA, MS
NPI1477869881
Entity TypeOrganization
Authorized ContactDEBBIE P MITCHELL
Executive Director
662-226-8556
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
(Licence: MS  777)
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
PROVIDENCE PCC OF GRENADA, LLC
1855 HILL DR
GRENADA, MS 38901-5003
Phone number: 662-226-8556
Mailing Address
PROVIDENCE PCC OF GRENADA, LLC
1855 HILL DR
GRENADA, MS 38901-5003
Phone number: 662-226-8556