Organization
HEALTHYLAND ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R VAUGHN (ADMINISTRATOR)
(662) 326-4797
Entity
Organization
Contact information
Practice address
227 PECAN STREET, MARKS, MS 38646
(662) 326-4797
Mailing address
227 PECAN STREET, MARKS, MS 38646
(662) 326-4797
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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