Organization
OURTIME ADULT DAY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA TOBIAS CEO (OWNER/DIRECTOR)
(601) 668-3752
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE STE 300, JACKSON, MS 39213-7683
(601) 487-8402
(601) 487-8460
Mailing address
350 W WOODROW WILSON AVE STE 300, JACKSON, MS 39213-7683
(601) 487-8402
(601) 487-8460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
251S00000X
MS
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
12/06/2022
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