Organization
REACH ADULT RECREATION SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE SMITH BOWENS (CEO/LPN)
(662) 557-2222
Entity
Organization
Contact information
Practice address
153 E GHOLSON AVE, HOLLY SPRINGS, MS 38635-3016
(662) 274-3049
Mailing address
153 E GHOLSON AVE, HOLLY SPRINGS, MS 38635-3016
(662) 274-3049
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07383030
—
MS
Enumeration date
07/18/2012
Last updated
09/15/2022
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