Organization
THE PHAROS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIZMET CLEVELAND (EXECUTIVE DIRECTOR)
(662) 422-9877
Entity
Organization
Contact information
Practice address
300 SUNFLOWER RD APT 20, ITTA BENA, MS 38941-2730
(662) 422-9877
Mailing address
300 SUNFLOWER RD APT 20, ITTA BENA, MS 38941-2730
(662) 422-9877
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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