Organization · Type 2 NPI

Genesis and Light Center

Adult Day Care Clinic/Center · Jackson, MS

NPI number 1457768814 Active

Practice location

4914 N State St
Jackson, MS 39206-4046

Call (601) 362-6736 Map

Fax (601) 362-6737

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency 251V00000X25C4PAS-5598 (MS)
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

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About NPI 1457768814

Genesis and Light Center's National Provider Identifier is 1457768814, issued on Jul 17, 2014. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Jackson, MS. The record was last updated on Mar 17, 2023.