Organization
ANGEL KEEPER ADULT DAY CARE
Active
Parent organization
DELTA VALLEY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELTA VALLEY LLC
Authorized official
DR. VIOLA WILLIAMS MCCASKILL (OWNER)
(662) 299-5174
Entity
Organization
Contact information
Practice address
812 HIGHWAY 82 E, LELAND, MS 38756-9647
(662) 771-5166
(662) 771-5166
Mailing address
PO BOX 427, ITTA BENA, MS 38941-0427
(601) 667-7679
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04403511
—
MS
Enumeration date
05/20/2021
Last updated
05/20/2021
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