Organization
SENTRY-BRANDON, INC.
Active
Other names
Peachtree Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON D GODDARD (AR MANAGER)
(601) 824-9010
Entity
Organization
Contact information
Practice address
6100 OLD BRANDON RD, BRANDON, MS 39042-2543
(601) 933-1100
(601) 933-1113
Mailing address
PO BOX 1499, BRANDON, MS 39043-1499
(601) 824-9010
(601) 824-9044
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
780
MS
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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