Organization · Type 2 NPI

Grenada Lake Medical Center

Skilled Nursing Facility · Grenada, MS

NPI number 1053386870 Active

Practice location

960 Avent Dr
Grenada, MS 38901-5230

Call (662) 227-7000 Map

Fax (662) 227-7534

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X11245 (MS)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1053386870

Grenada Lake Medical Center's National Provider Identifier is 1053386870, issued on Feb 23, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Grenada, MS. The record was last updated on Dec 12, 2007.