Community Adult Day Care
NPI #1629310487 in Mound Bayou, Mississippi
Provider Information
- NPI Number
- 1629310487
- Entity Type
- Organization
- Organization Name
- Community Adult Day Care
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Mar 20, 2013
- Last Updated
- Mar 20, 2013
Practice Location
- Address
- 114 S EDWARDS AVENUE
- City
- Mound Bayou
- State
- Mississippi
- ZIP Code
- 38762
- Phone
- (662) 719-2005
Authorized Official
- Name
- MRS. BEVERLY C JOHNSON, MSW
- Title
- ADMINISTRATOR
- Phone
- (662) 719-2005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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