Organization
GRANCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE RESPESS (GENERAL PARTNER)
(662) 226-8878
Entity
Organization
Contact information
Practice address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-8878
(662) 226-8879
Mailing address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-8878
(662) 226-8879
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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