# THE OLIVER HOUSE ADULT DAYCARE

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

## Provider details

- **NPI number:** 1659556371
- **Authorized official:** MRS. SHERROLYNN EDWARDS REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (601) 695-1701

## Contact information

- **Practice address:** 2008 HIGHWAY 51, WESSON, MS 39191-9502
- **Practice address phone:** (601) 643-1533
- **Practice address fax:** (601) 643-1534
- **Mailing address:** 204 POPLAR ST, BROOKHAVEN, MS 39601-2839
- **Mailing address phone:** (601) 695-1701
- **Mailing address fax:** (601) 833-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 172A00000X | MS | — |
| 311ZA0620X | Adult Care Home Facility | 251QA0600X | MS | Yes |
| 311ZA0620X | Adult Care Home Facility | 376J00000X | MS | — |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 12/31/2007