OrganizationActive
Emeritus Corporation
NPI 1730415035 · Assisted Living Facility · Hattiesburg, MS
Provider details
- NPI number
- 1730415035
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Noelle Diaz, Licensing Specialist
- License
- 882 (MS)
Practice location
103 Fox Chase Dr
Hattiesburg, MS 39402-2575
Phone: (601) 271-2177
Fax: (601) 271-2411
Mailing address
3131 Elliott Ave
Seattle, WA 98121-1044
Registry dates
- Enumerated
- 2009-10-22
- Last updated
- 2009-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.