Port City Adult Daycare
NPI #1013283688 in Greenville, Mississippi
Provider Information
- NPI Number
- 1013283688
- Entity Type
- Organization
- Organization Name
- Port City Adult Daycare
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 1255 S RACEWAY RD
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38703-8208
- Phone
- (662) 701-5856
Authorized Official
- Name
- MS. BETTIE JO PRUITT
- Title
- OWNER
- Phone
- (662) 701-5856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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