OrganizationActive
Emeritus Corporation
NPI 1407181209 · Assisted Living Facility · Hattiesburg, MS
Provider details
- NPI number
- 1407181209
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anna Munoz, Assistant Secretary(414) 918-5443
- License
- 899 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
107 Fox Chase Dr
Hattiesburg, MS 39402-2574
Phone: (601) 271-8480
Fax: (601) 271-2510
Approximate (ZIP-level) locationGet directions
Mailing address
107 Fox Chase Dr
Hattiesburg, MS 39402-2574
Other names (DBA / former)
- Doing business as
- Brookdale Hattiesburg II
Registry dates
- Enumerated
- 2009-10-12
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.