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Organization
NEW COVENANT DAYCARE
Active
Organization
NEW COVENANT DAYCARE
Active
Other names
ADULT RECREATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESIA PHILLIPS (OWNER/CEO)
(662) 402-7735
Entity
Organization
Contact information
Practice address
960 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2145
(662) 402-7735
Mailing address
460 MUSE RD, HOLLY SPRINGS, MS 38635-6903
(662) 402-7735
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
MS
Other
Enumeration date
04/27/2013
Last updated
04/27/2013
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