Organization
PARENTAL ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRESSA I NASH (C.E.O)
(662) 375-2875
Entity
Organization
Contact information
Practice address
215 W MAIN ST, MARKS, MS 38646-1136
(662) 326-4477
(662) 326-4478
Mailing address
PO BOX 352, WEBB, MS 38966-0352
(662) 326-4477
(662) 326-4478
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
MS
Other
Enumeration date
12/27/2012
Last updated
07/21/2022
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