Organization · Type 2 NPI
Carnage Tender Loving Care Adc
Adult Day Care Clinic/Center · Itta Bena, MS
NPI number
1104177567
Active
Practice location
102 Wheeler St
Itta Bena, MS 38941-1919
Fax (662) 254-9511
Mailing address
PO Box 474
Itta Bena, MS 38941-0474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Other adult day care clinic/center providers in Itta Bena
About NPI 1104177567
Carnage Tender Loving Care Adc's National Provider Identifier is 1104177567, issued on Sep 26, 2012. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Itta Bena, MS. The record was last updated on Sep 26, 2012.