Organization
SPECTRUM COMMUNITIES OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST FLAGG (CEO)
(404) 600-8675
Entity
Organization
Contact information
Practice address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(404) 600-8675
Mailing address
4525 FLAT SHOALS PKWY STE 401, DECATUR, GA 30034-5038
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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