Organization
SOUTHERN SOLACE ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME TOLIVER (ADMINISTRATOR)
(901) 315-9384
Entity
Organization
Contact information
Practice address
116 S CENTER ST, SENATOBIA, MS 38668-2627
(901) 607-7577
(662) 233-5877
Mailing address
PO BOX 332, COLDWATER, MS 38618-0332
(901) 607-7577
(662) 233-5877
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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