Organization
C&K ADULT RECREATIONAL AND HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHIKA PRICE RN (OWNER/ADMINISTRATOR)
(662) 482-5067
Entity
Organization
Contact information
Practice address
288 GREEN AVENUE, DREW, MS 38737-0314
(662) 482-5067
(662) 482-5076
Mailing address
PO BOX 314, DREW, MS 38737-0314
(662) 482-5067
(662) 482-5076
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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