Carnage Tender Loving Care Adc
NPI #1104177567 in Itta Bena, Mississippi
Provider Information
- NPI Number
- 1104177567
- Entity Type
- Organization
- Organization Name
- Carnage Tender Loving Care Adc
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 102 WHEELER ST
- City
- Itta Bena
- State
- Mississippi
- ZIP Code
- 38941-1919
- Phone
- (662) 254-0011
Authorized Official
- Name
- MRS. AUGUSTA CARNAGE
- Title
- OWNER
- Phone
- (662) 254-6107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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