Desmond & Puller Adult Daycare Center, LLC
NPI #1295984243 in Canton, Mississippi
Provider Information
- NPI Number
- 1295984243
- Entity Type
- Organization
- Organization Name
- Desmond & Puller Adult Daycare Center, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 15, 2008
- Last Updated
- Sep 15, 2008
Practice Location
- Address
- 525 E CENTER ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-3909
- Phone
- (601) 832-1729
Authorized Official
- Name
- MRS. ANNIE PEARL SMITH, R.N., B.S.N
- Title
- DIRECTOR/OWNER
- Phone
- (601) 832-1729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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