Organization
BENTON COUNTY COMMISSION ON AGING AND INDEPENDEN LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LATRON ROBINSON (OWNER)
(949) 441-9900
Entity
Organization
Contact information
Practice address
1342 COUNTRY CHURCH RD, LAMAR, MS 38642
(949) 441-9900
Mailing address
1342 COUNTRY CHURCH RD, LAMAR, MS 38642
(949) 441-9900
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
02/02/2015
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