Organization
EXTENDED CARE CLINICAL SERVICES LLC
Active
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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