# ANCOR ADULT DAY CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699956268
- **Authorized official:** MR. BERTRAND ANTOINE (PRESIDENT)
- **Authorized official phone:** (662) 345-0222

## Contact information

- **Practice address:** 813 HANCOCK STREET, TUTWILER, MS 38963
- **Practice address phone:** (662) 345-0222
- **Mailing address:** PO BOX 1007, GREENWOOD, MS 38935-1007
- **Mailing address phone:** (662) 345-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 00437897 | MS | Yes |

## Other

- **Enumeration date:** 11/23/2007
- **Last updated:** 05/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00437897 | — | MS |
| 05 | — | 08081816 | — | MS |