Organization
PURE JOY MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LITTLE MDIV (CEO)
(601) 966-5502
Entity
Organization
Contact information
Practice address
2 DOVE WAY CIR, CLINTON, MS 39056-3589
(601) 966-5502
Mailing address
PO BOX 693, CLINTON, MS 39060-0693
(601) 966-5502
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PJM-AGENCY
MISSISSIPPI DEPARTMENT OF MENTAL HEALTH
MS
Enumeration date
05/18/2019
Last updated
05/18/2019
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