Individual
CONTRILLA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 VANCE RD, GRENADA, MS 38901-4830
(662) 307-2061
(662) 307-2316
Mailing address
1501 VANCE RD, GRENADA, MS 38901-4830
(662) 299-7280
(662) 307-2316
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
07/30/2025
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