GRENADA LAKE MEDICAL CENTER HH

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

257134

Ownership Type:

Government - State/County

Date Certified:

05-19-1983

Address:

960 AVENT DRIVE

City, State, Zip:

GRENADA , MS 38901

County:

GRENADA

Country:

Phone:

6622277545

Fax:

General Email:

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