Imani Community Out Reach Center
NPI #1275977357 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1275977357
- Entity Type
- Organization
- Organization Name
- Imani Community Out Reach Center
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Apr 19, 2013
- Last Updated
- Mar 13, 2014
Practice Location
- Address
- 308 N JACKSON ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3322
- Phone
- (662) 289-7676
Authorized Official
- Name
- MISS ALLIE GLEE NDIAYE, LPN
- Title
- CEO
- Phone
- (662) 289-7676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Community Health Worker |
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