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Organization

MOLLICARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLIE MASSEY (CEO)
(662) 809-8706
Entity
Organization

Contact information

Practice address
5989 HIGHWAY 4 W, SENATOBIA, MS 38668-3714
(662) 560-6034
Mailing address
5989 HIGHWAY 4 W, SENATOBIA, MS 38668-3714
(662) 560-6034

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
5346
MS

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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