Organization
FALCON CREST PERSONAL CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M PARKER RN (ADMINISTRATOR)
(601) 336-4590
Entity
Organization
Contact information
Practice address
4 FALCON LN, HATTIESBURG, MS 39401-9350
(601) 336-4590
(601) 336-4598
Mailing address
4 FALCON LN, HATTIESBURG, MS 39401-9350
(601) 336-4590
(601) 336-4598
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
1092
MS
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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