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Organization
COWAN CARE, LLC
Active
Organization
COWAN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY L COWAN (OWNER/MANAGER)
(662) 587-2412
Entity
Organization
Contact information
Practice address
21 COUNTY ROAD 534, RIPLEY, MS 38663-9113
(662) 587-2412
Mailing address
21 COUNTY ROAD 534, RIPLEY, MS 38663-9113
(662) 587-2412
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1238
MS
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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