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Organization

MAIDS

Active
Other names
MAIDS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CALINA L PATTERSON (BILLER)
(662) 347-2052
Entity
Organization

Contact information

Practice address
6831 CRUMPLER BLVD STE 100, OLIVE BRANCH, MS 38654-2055
(901) 487-1912
Mailing address
3109 JOHN MICHAEL DR, SOUTHAVEN, MS 38672-8597
(662) 347-2052

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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