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Organization
WE CARE COMMUNITY, INC
Active
Organization
WE CARE COMMUNITY, INC
Active
Other names
Jeans Non Medical Care Respite Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OZIE D PHIPPS ADC PROVIDER (CEO)
(662) 382-8883
Entity
Organization
Contact information
Practice address
612 BROAD STREET, CRENSHAW, MS 38621
(662) 382-8883
(662) 382-7776
Mailing address
430 WILLIAMS AVENUE, P. O. BOX 72, SLEDGE, MS 38670
(662) 382-7754
(662) 382-7776
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
261QAD600X
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03138365
—
MS
05
—
09152532
—
MS
Enumeration date
09/22/2006
Last updated
08/22/2020
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