Healthyland Adult Day Care, LLC

Organization Active NPI Adult Care Home Facility · Marks, MS

NPI 1356765101 · NPPES record last updated Feb 14, 2014

Key facts

NPI
1356765101
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
HEALTHYLAND ADULT DAY CARE, LLC
Practice address
227 Pecan Street
Marks, MS 38646
Phone
(662) 326-4797
NPI assigned
Feb 14, 2014
Organization subpart
No

Authorized official

Name
Mr. Kenneth R Vaughn
Title
Administrator
Phone
(662) 326-4797

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

227 Pecan Street
Marks, MS 38646

Mailing address

227 Pecan Street
Marks, MS 38646
Phone (662) 326-4797

Other providers in Marks, MS

All providers in Marks, MS · Adult Care Home Facility in Mississippi

Sources for this page

Verify at the official NPI Registry.