Northside Haven Association, Inc.

NPI 1063530467 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063530467
Enumeration Date 03/26/2007
Last Updated 12/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ZELPHA MONTGOMERY ZELPHA
Position EXECUTIVE DIRECTOR
Phone (662) 834-3344
Fax (662) 834-3314
Practice Location
50 PATTON PLACE RD
LEXINGTON MS, 39095-5851, US
Phone (662) 834-3344
Fax (662) 834-3314
Business Location
50 PATTON PLACE RD
LEXINGTON MS, 39095-5851, US
Phone (662) 834-3344
Fax (662) 834-3314
Toxanomy
Taxonomy Code 310400000X
License State Mississippi
License Number 992
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According to our database, Northside Haven Association, Inc. NPI is 1063530467, taxonomy code is 310400000X and license number is 992, license state is located at Mississippi. Northside Haven Association, Inc. physically located at 50 Patton Place Rd, Lexington MS, 39095-5851. NPI Number 1033115704 has the healthcare provider type.

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1063530467 NPI number is provided on an as is basis without warranty of any kind. 1063530467 is maintained by the National Plan & Provider Enumeration System. The contents of Northside Haven Association, Inc. are for informational purposes only.