Organization
BEAUTIFUL LIFE ADULT DAY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER Y DOZIER CFNP (CO-ADMINISTARTOR)
(662) 329-1025
Entity
Organization
Contact information
Practice address
1551 2ND AVE N, COLUMBUS, MS 39701-4925
(662) 329-1025
Mailing address
1551 2ND AVE N, COLUMBUS, MS 39701-4925
(662) 329-1025
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08505823
—
MS
Enumeration date
12/18/2007
Last updated
12/18/2007
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