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Organization
COOKS ADULT DAY CARE LLC
Active
Organization
COOKS ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALRENEASE COOK LPN (OWNER)
(662) 534-6789
Entity
Organization
Contact information
Practice address
611 MOSS HILL DR, NEW ALBANY, MS 38652
Mailing address
135 W BANKHEAD ST, NEW ALBANY, MS 38652-3314
(662) 534-6789
(662) 534-4405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
MS
305R00000X
Preferred Provider Organization
—
MS
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184373
—
MS
05
—
01828765
—
MS
05
—
06586521
—
MS
Enumeration date
06/09/2016
Last updated
01/06/2023
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