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Organization
GA STOVER HEALTH CENTER PA
Active
Organization
GA STOVER HEALTH CENTER PA
Active
Other names
Ruth Burnett Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MARIE FRANKLIN (DIRECTOR)
(662) 357-7602
Entity
Organization
Contact information
Practice address
226 E MAIN ST STE K, SENATOBIA, MS 38668-2133
(662) 357-7602
(662) 357-7621
Mailing address
PO BOX 458, TUNICA, MS 38676-0458
(662) 357-7602
(662) 357-7621
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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