Organization · Type 2 NPI
Educare Senior Day Center (vicksburg Branch)
Adult Care Home Facility · Vicksburg, MS
NPI number
1679943310
Active
Practice location
3202 Wisconsin Ave
Vicksburg, MS 39180-5351
Fax (866) 683-2362
Mailing address
4005 Torrey Pines Dr
Byram, MS 39272-5778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1679943310
Educare Senior Day Center (vicksburg Branch)'s National Provider Identifier is 1679943310, issued on Oct 6, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Vicksburg, MS. The record was last updated on Oct 6, 2015.