Healthcare Provider Details

I. General information

NPI: 1922591973
Provider Name (Legal Business Name): NEXION HEALTH AT GRENADA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1966 HILL DR
GRENADA MS
38901
US

IV. Provider business mailing address

6937 WARFIELD AVE
SYKESVILLE MD
21784-7454
US

V. Phone/Fax

Practice location:
  • Phone: 662-226-2442
  • Fax:
Mailing address:
  • Phone: 410-935-7799
  • Fax: 410-552-4837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS P KIRLEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-552-4800