Madison County Citizens Services Agency
NPI #1518455468 in Canton, Mississippi
Provider Information
- NPI Number
- 1518455468
- Entity Type
- Organization
- Organization Name
- Madison County Citizens Services Agency
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Apr 26, 2018
- Last Updated
- Apr 26, 2018
Practice Location
- Address
- 1005 W PEACE ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-5378
- Phone
- (601) 391-1993
Authorized Official
- Name
- DR. MARY SIMS-JOHNSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 391-1993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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