Imani Community Outreach Center
NPI #1154765808 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1154765808
- Entity Type
- Organization
- Organization Name
- Imani Community Outreach Center
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Apr 24, 2013
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 301 E JEFFERSON ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090
- Phone
- (662) 289-7676
Authorized Official
- Name
- MRS. ALLIE GLEE NDIAYE I, LPN
- Title
- CEO
- Phone
- (662) 289-7676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Respite Care |
| Private Vehicle |
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