Organization
MCLIN , S ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA VERNITA MCLIN (DIRECTOR)
(601) 922-1769
Entity
Organization
Contact information
Practice address
10 TWELVE OAKS CIR, JACKSON, MS 39209-6562
(601) 922-1769
(601) 922-1769
Mailing address
10 TWELVE OAKS CIR, JACKSON, MS 39209-6562
(601) 922-1769
(601) 922-1769
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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