Organization
EXTENDED CARE CLINICAL SERVICES LLC
Active
Other names
Extended Care Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLORY MOWDY N.P. (PRESIDENT)
(601) 730-0602
Entity
Organization
Contact information
Practice address
545 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
(601) 833-5255
(601) 843-0252
Mailing address
PO BOX 197, BROOKHAVEN, MS 39602-0197
(601) 833-5255
(601) 843-0252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/14/2020
Last updated
10/29/2025
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