Organization · Type 2 NPI
Mall Services, LLC
Community Health Clinic/Center · Jackson, MS
NPI number
1841456472
Active
Practice location
1066 Wiggins Road
Jackson, MS 39209
Fax (601) 982-0459
Mailing address
350 W Woodrow Wilson Ave, Suite 615
Jackson, MS 39213-7681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | V-014 (MS) |
| Community Health Clinic/Center | 261QC1500X | R656046 (MS) |
Community Health Clinic/Center: Definition to come...
Other community health clinic/center providers in Jackson
About NPI 1841456472
Mall Services, LLC's National Provider Identifier is 1841456472, issued on Aug 4, 2008. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Jackson, MS. The record was last updated on Aug 4, 2008.