Elise's Place Adc
NPI #1194252494 in Indianola, Mississippi
Provider Information
- NPI Number
- 1194252494
- Entity Type
- Organization
- Organization Name
- Elise's Place Adc
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- May 17, 2017
- Last Updated
- May 17, 2017
Practice Location
- Address
- 924 BROADMOOR DR
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-3608
- Phone
- (662) 207-9842
Authorized Official
- Name
- MRS. JACQUELINE HANNAH
- Title
- DIRECTOR
- Phone
- (662) 207-9842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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