Organization
BOONEVILLE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ARNOLD (PRESIDENT)
(479) 426-7851
Entity
Organization
Contact information
Practice address
1101 W CHAMBERS DR, BOONEVILLE, MS 38829-6840
(479) 426-7851
(662) 720-9594
Mailing address
1101 WEST CHAMBERS DRIVE, BALDWYN, MS 38824
(479) 426-7851
(662) 720-9594
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1024
MS
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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