Organization
CHRISTOPHER'S MANOR ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LONG (PRESIDENT)
(662) 401-8930
Entity
Organization
Contact information
Practice address
885 HIGHWAY 178 E, HOLLY SPRINGS, MS 38635-2641
(662) 551-1122
Mailing address
PO BOX 4150, TUPELO, MS 38803-4150
(662) 401-8930
(662) 401-8930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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