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Organization
NORTH STREET ADULT DAYCARE
Active
Organization
NORTH STREET ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GROSSLEY (OWNER)
(662) 843-5758
Entity
Organization
Contact information
Practice address
222 NORTH ST, CLEVELAND, MS 38732-2746
(662) 843-5758
(662) 843-5311
Mailing address
222 NORTH ST, CLEVELAND, MS 38732-2746
(662) 843-5758
(662) 843-5311
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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