Organization
WE CARE ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEOTHA MONTGOMERY (OWNER)
(662) 334-1650
Entity
Organization
Contact information
Practice address
620 WASHINGTON AVE, GREENVILLE, MS 38701-3621
(662) 334-1650
(662) 334-1680
Mailing address
620 WASHINGTON AVE, GREENVILLE, MS 38701-3621
(662) 334-1650
(662) 334-1680
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
59213
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01926217
—
MS
Enumeration date
12/11/2007
Last updated
12/11/2007
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