Family First Adult Daycare LLC

NPI #1417292137 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1417292137
Entity Type: Organization
Organization Name: Family First Adult Daycare LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Dec 6, 2012
Last Updated: Dec 6, 2012

Practice Location

Address: 112 SCOTLAND CIR
City: Hattiesburg
State: Mississippi
ZIP Code: 39401-8326
Phone: (330) 798-2401

Authorized Official

Name: MR. MYRON LEE
Title: BUSSINESS OWNER
Phone: (330) 798-2401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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