Organization
OUR HOUSE OF MAYERSVILLE ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION TYLER CEO (ADMINISTRATOR)
(662) 394-9853
Entity
Organization
Contact information
Practice address
564 CYPRESS LN APT 512, GREENVILLE, MS 38701-7470
(662) 873-6559
(662) 873-2285
Mailing address
564 CYPRESS LN APT 812, GREENVILLE, MS 38701-7423
(662) 394-9853
(662) 873-2285
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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