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Organization
MOLLICARE
Active
Organization
MOLLICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLIE MASSEY (CEO)
(662) 809-8706
Entity
Organization
Contact information
Practice address
5989 HIGHWAY 4 W, SENATOBIA, MS 38668-3714
(662) 560-6034
Mailing address
5989 HIGHWAY 4 W, SENATOBIA, MS 38668-3714
(662) 560-6034
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
5346
MS
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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