Organization · Type 2 NPI

Imani Community Outreach CTR

Driver · Kosciusko, MS

NPI number 1669749081 Active

Practice location

301 E Jefferson St
Kosciusko, MS 39090-3719

Call (662) 289-7676 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

7 other providers at this address

About NPI 1669749081

Imani Community Outreach CTR's National Provider Identifier is 1669749081, issued on Nov 30, 2011. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Kosciusko, MS. The record was last updated on Mar 12, 2012.