Organization
SENIOR EMPOWERMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BELINDA DORSEY FLETCHER PMHT (PROGRAM DIRECTOR)
(404) 277-6032
Entity
Organization
Contact information
Practice address
2524 E ALEXANDER ST STE B, GREENVILLE, MS 38703-3330
(404) 277-6032
Mailing address
2524 E ALEXANDER ST, GREENVILLE, MS 38703-3330
(404) 277-6032
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122052
—
MS
Enumeration date
07/25/2017
Last updated
06/16/2018
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