# DESMOND & PULLER ADULT DAYCARE CENTER, LLC

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

## Provider details

- **NPI number:** 1295984243
- **Authorized official:** MRS. ANNIE PEARL SMITH R.N., B.S.N (DIRECTOR/OWNER)
- **Authorized official phone:** (601) 832-1729

## Contact information

- **Practice address:** 525 E CENTER ST, CANTON, MS 39046-3909
- **Practice address phone:** (601) 832-1729
- **Mailing address:** 525 E CENTER ST, CANTON, MS 39046-3909
- **Mailing address phone:** (601) 832-1729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 09/15/2008