OrganizationActive
Greenville Assisted Living
NPI 1851155394 · Custodial Care Facility · Greenville, MS
Provider details
- NPI number
- 1851155394
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Reagor, Sole Owner(662) 334-4646
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1880 Fairground Road
Greenville, MS 38703
Phone: (662) 334-4646
Fax: (662) 334-4691
Approximate (ZIP-level) locationGet directions
Mailing address
1880 Fairground Road
Greenville, MS 38703
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.