Organization
COMMUNITY CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON C JACKSON MR (DIRECTOR)
(662) 332-0911
Entity
Organization
Contact information
Practice address
228 DR MARTIN LUTHER KING JR BLVD, GREENVILLE, MS 38701-4303
(662) 332-0911
(662) 332-0911
Mailing address
228 DR MARTIN LUTHER KING BLVD S, GREENVILLE, MS 38701-4303
(662) 332-0911
(662) 332-0911
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
76C3PFA5142
MS
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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