# SOUTHERN SOLACE ADULT DAYCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134672686
- **Authorized official:** MR. JEROME TOLIVER (ADMINISTRATOR)
- **Authorized official phone:** (901) 315-9384

## Contact information

- **Practice address:** 116 S CENTER ST, SENATOBIA, MS 38668-2627
- **Practice address phone:** (901) 607-7577
- **Practice address fax:** (662) 233-5877
- **Mailing address:** PO BOX 332, COLDWATER, MS 38618-0332
- **Mailing address phone:** (901) 607-7577
- **Mailing address fax:** (662) 233-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 08/02/2016