OrganizationActive
North Grove Assisted Living
NPI 1902081029 · Assisted Living Facility · Jackson, MS
Provider details
- NPI number
- 1902081029
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Wiley, Administrator(601) 922-2008
- License
- 697 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
641 N Flag Chapel Rd
Jackson, MS 39209-2204
Phone: (601) 922-2008
Fax: (601) 922-2817
Approximate (ZIP-level) locationGet directions
Mailing address
641 N Flag Chapel Rd
Jackson, MS 39209-2204
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.