Organization
BURRAGE'S INC
Active
Other names
Cpeldercare
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYON (ADMINISTRATOR)
(601) 720-6437
Entity
Organization
Contact information
Practice address
363 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(601) 991-0057
Mailing address
PO BOX 16360, JACKSON, MS 39236-6360
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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