Organization · Type 2 NPI

Grenada Lake Medical Center

Home Health Agency · Grenada, MS

NPI number 1144295965 Active

Practice location

960 Avent Dr
Grenada, MS 38901-5230

Fax (662) 227-7534

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X11245 (MS)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1144295965

Grenada Lake Medical Center's National Provider Identifier is 1144295965, issued on Feb 23, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Grenada, MS. The record was last updated on Dec 10, 2007.