Community Living in Mississippi - Baddour
NPI #1417464512 in Senatobia, Mississippi
Provider Information
- NPI Number
- 1417464512
- Entity Type
- Organization
- Organization Name
- Community Living in Mississippi - Baddour
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 10, 2018
- Last Updated
- Jan 10, 2018
Practice Location
- Address
- 3297 HIGHWAY 51 S
- City
- Senatobia
- State
- Mississippi
- ZIP Code
- 38668-2926
- Phone
- (662) 689-0501
Authorized Official
- Name
- PARKE PEPPER
- Title
- CHAIRPERSON
- Phone
- (662) 689-0501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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