Organization
DESMOND & PULLER ADULT DAYCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE PEARL SMITH R.N., B.S.N (DIRECTOR/OWNER)
(601) 832-1729
Entity
Organization
Contact information
Practice address
525 E CENTER ST, CANTON, MS 39046-3909
(601) 832-1729
Mailing address
525 E CENTER ST, CANTON, MS 39046-3909
(601) 832-1729
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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