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

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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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.