Imani Community Outreach Center
NPI #1457623118 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1457623118
- Entity Type
- Organization
- Organization Name
- Imani Community Outreach Center
- Primary Specialty
- Respite Care
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Jan 27, 2012
Practice Location
- Address
- 207 POPLAR ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-4409
- Phone
- (662) 739-3399
Authorized Official
- Name
- TRICIA B DUNCAN
- Title
- BILLER
- Phone
- (601) 878-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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