Organization
CO-MED ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOMEKIA CARTER (DIRECTOR)
(662) 773-7066
Entity
Organization
Contact information
Practice address
3249 N CHURCH AVE, LOUISVILLE, MS 39339-2072
(662) 773-7066
(662) 773-2677
Mailing address
3249 N CHURCH AVE, LOUISVILLE, MS 39339-2072
(662) 773-7066
(662) 773-2677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
05521743
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05521743
—
MS
Enumeration date
03/04/2015
Last updated
03/17/2018
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