Cal-Wal Southern, LLC
NPI #1053977298 in Greenville, Mississippi
Provider Information
- NPI Number
- 1053977298
- Entity Type
- Organization
- Organization Name
- Cal-Wal Southern, LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- May 14, 2019
- Last Updated
- May 14, 2019
Practice Location
- Address
- 114 W WALKER ST
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-4755
- Phone
- (601) 456-0447
Authorized Official
- Name
- ANTONIO CALVIN
- Title
- OWNER/ADMINISTRATOR
- Phone
- (601) 213-9783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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