Organization
THE MANOR ON LAWNDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LONG (PRESIDENT)
(662) 401-8930
Entity
Organization
Contact information
Practice address
2429 LAWNDALE DR STE A, TUPELO, MS 38801-6493
(662) 840-6163
Mailing address
2429 LAWNDALE DR STE A, TUPELO, MS 38801-6493
(662) 840-6163
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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