Organization
SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELETTA BUCKLEY (DIRECTOR)
(769) 235-8224
Entity
Organization
Contact information
Practice address
3891 I-55 SOUTH FRONTAGE RD, JACKSON, MS 39212
(769) 235-8224
(769) 251-1017
Mailing address
PO BOX 6590, JACKSON, MS 39282-6590
(769) 235-8224
(769) 251-1017
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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