Green Acre LLC
NPI #1871932772 in Canton, Mississippi
Provider Information
- NPI Number
- 1871932772
- Entity Type
- Organization
- Organization Name
- Green Acre LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jun 24, 2013
- Last Updated
- Jun 24, 2013
Practice Location
- Address
- 1214 SHARON RD
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-8814
- Phone
- (601) 503-4432
Authorized Official
- Name
- ANGELA WILBERT, MHA
- Title
- CONSULTANT
- Phone
- (601) 503-4432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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