Organization
FAMILY FIRST ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYRON LEE (BUSSINESS OWNER)
(330) 798-2401
Entity
Organization
Contact information
Practice address
112 SCOTLAND CIR, HATTIESBURG, MS 39401-8326
(330) 798-2401
Mailing address
112 SCOTLAND CIR, HATTIESBURG, MS 39401-8326
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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