Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Hattiesburg II
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
107 FOX CHASE DR, HATTIESBURG, MS 39402-2574
(601) 271-8480
(601) 271-2510
Mailing address
107 FOX CHASE DR, HATTIESBURG, MS 39402-2574
(601) 271-8480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
899
MS
Other
Enumeration date
10/12/2009
Last updated
03/14/2025
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