Organization · Type 2 NPI
Community Adult Day Care
Adult Day Care Clinic/Center · Mound Bayou, MS
NPI number
1629310487
Active
Practice location
114 S Edwards Avenue
Mound Bayou, MS 38762
Mailing address
404 Holt St, Box 3
Mound Bayou, MS 38762-9759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1629310487
Community Adult Day Care's National Provider Identifier is 1629310487, issued on Mar 20, 2013. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Mound Bayou, MS. The record was last updated on Mar 20, 2013.