Organization · Type 2 NPI
Destiny Manor
Assisted Living Facility · Arcola, MS
NPI number
1356992978
Active
Practice location
104 Martin Luther King Blvd
Arcola, MS 38722
Fax (662) 827-7347
Mailing address
PO Box 383
Arcola, MS 38722-0383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1356992978
Destiny Manor's National Provider Identifier is 1356992978, issued on Sep 25, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Arcola, MS. The record was last updated on Sep 25, 2019.