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Organization

CARNAGE TENDER LOVING CARE ADC

Active
Other names
Tender Loving Child Care Development Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AUGUSTA CARNAGE (OWNER)
(662) 254-6107
Entity
Organization

Contact information

Practice address
102 WHEELER ST, ITTA BENA, MS 38941-1919
(662) 254-0011
(662) 254-9511
Mailing address
PO BOX 474, ITTA BENA, MS 38941-0474
(662) 254-0011
(662) 254-9511

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
MS

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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