Organization
UNITED FAMILY LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMETRIA PARKS (OFFICE MANAGER)
(662) 843-3097
Entity
Organization
Contact information
Practice address
1101 S MARTIN LUTHER KING DRIVE, CLEVELAND, MS 38732
(662) 843-3097
Mailing address
PO BOX 1387, CLEVELAND, MS 38732-1387
(662) 843-3097
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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