# EDUCARE SENIOR DAY CENTER (VICKSBURG BRANCH)

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDUCARE SENIOR DAY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679943310
- **Legal business name:** EDUCARE SENIOR DAY CENTER
- **Authorized official:** ANGELA COURTNEY (ADMINISTRATOR)
- **Authorized official phone:** (601) 624-0311

## Contact information

- **Practice address:** 3202 WISCONSIN AVE, VICKSBURG, MS 39180-5351
- **Practice address phone:** (601) 624-0311
- **Practice address fax:** (866) 683-2362
- **Mailing address:** 4005 TORREY PINES DR, BYRAM, MS 39272-5778
- **Mailing address phone:** (601) 624-0311

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015