OrganizationActive
Providence Pcc of Senatobia, LLC
NPI 1275849671 · Assisted Living Facility · Senatobia, MS
Provider details
- NPI number
- 1275849671
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melanie Isaacks, Director(662) 562-9229
- License
- 1032 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
700 Moores Xing
Senatobia, MS 38668-8004
Phone: (662) 562-9229
Fax: (662) 562-9202
Approximate (ZIP-level) locationGet directions
Mailing address
700 Moores Xing
Senatobia, MS 38668-8004
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2010-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.