Willie Mae Clerk Adult Day Care ,llc
NPI #1124405840 in Boyle, Mississippi
Provider Information
- NPI Number
- 1124405840
- Entity Type
- Organization
- Organization Name
- Willie Mae Clerk Adult Day Care ,llc
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- May 1, 2015
- Last Updated
- May 1, 2015
Practice Location
- Address
- 151 GAINES HWY
- City
- Boyle
- State
- Mississippi
- ZIP Code
- 38730-9512
- Phone
- (662) 846-7732
Authorized Official
- Name
- MISS JOSEPHINE CLERK, RN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 846-7732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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