Organization
PLATINUM PLUS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAPLE LEAN CAMPBELL (CEO)
(662) 445-2600
Entity
Organization
Contact information
Practice address
617 HIGHWAY 82 W, INDIANOLA, MS 38751-2056
(662) 445-2600
Mailing address
PO BOX 649, 617 HIGWAY 82 WEST, INDIANOLA, MS 38751-0649
(662) 445-2600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
205593
MS
Other
Enumeration date
01/05/2017
Last updated
05/23/2017
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