Organization · Type 2 NPI
Willie Mae Clerk Adult Day Care ,llc
Adult Day Care Clinic/Center · Boyle, MS
NPI number
1124405840
Active
Practice location
151 Gaines Hwy
Boyle, MS 38730-9512
Fax (662) 846-7732
Mailing address
PO Box 155
Boyle, MS 38730-0155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 08133227 (MS) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1124405840
Willie Mae Clerk Adult Day Care ,llc's National Provider Identifier is 1124405840, issued on May 1, 2015. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Boyle, MS. The record was last updated on May 1, 2015.