# HEALTHYLAND ADULT DAY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356765101
- **Authorized official:** MR. KENNETH R VAUGHN (ADMINISTRATOR)
- **Authorized official phone:** (662) 326-4797

## Contact information

- **Practice address:** 227 PECAN STREET, MARKS, MS 38646
- **Practice address phone:** (662) 326-4797
- **Mailing address:** 227 PECAN STREET, MARKS, MS 38646
- **Mailing address phone:** (662) 326-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 02/14/2014
