Organization
BENTON COUNTY COMMISSION ON AGING AND INDEPENDEN LIVING
Active
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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