Imani Community Outreach Ctr INC
NPI #1912264250 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1912264250
- Entity Type
- Organization
- Organization Name
- Imani Community Outreach Ctr INC
- Primary Specialty
- Home Health
- Enumeration Date
- Apr 11, 2012
- Last Updated
- Apr 11, 2012
Practice Location
- Address
- 301 E JEFFERSON ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3719
- Phone
- (662) 289-7676
Authorized Official
- Name
- TRICIA DUNCAN
- Title
- BILLER
- Phone
- (601) 878-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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