Organization
DEPORRES DELTA MINISTRIES, INC.
Active
Other names
DePorres Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA J DUERR (BUSINESS MANAGER)
(662) 326-9232
Entity
Organization
Contact information
Practice address
411 POPLAR ST, MARKS, MS 38646-1338
(662) 326-9232
(662) 326-8851
Mailing address
PO BOX 347, MARKS, MS 38646-0347
(662) 326-9232
(662) 326-8851
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
207R00000X
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014066
—
MS
Enumeration date
09/06/2005
Last updated
03/18/2008
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