Organization
WE CARE COMMUNITY, INC
Active
Other names
Jeans Non Medical Care Respite Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OZIE D PHIPPS ADC PROVIDER (CEO)
(662) 382-8883
Entity
Organization
Contact information
Practice address
612 BROAD STREET, CRENSHAW, MS 38621
(662) 382-8883
(662) 382-7776
Mailing address
430 WILLIAMS AVENUE, P. O. BOX 72, SLEDGE, MS 38670
(662) 382-7754
(662) 382-7776
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
261QAD600X
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03138365
—
MS
05
—
09152532
—
MS
Enumeration date
09/22/2006
Last updated
08/22/2020
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