Organization
NORTH DELTA ADULT DAYCARE OF DREW INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND E VALLIER (CEO/ADMINISTRATOR)
(662) 393-0170
Entity
Organization
Contact information
Practice address
141 N MAIN ST, DREW, MS 38737-3406
(877) 393-0170
(662) 393-0171
Mailing address
123 STATELINE RD E, SOUTHAVEN, MS 38671-1710
(662) 393-0170
(662) 393-0171
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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