Organization
NORTHEAST MISSISSIPPI COMMUNITY SERVICES, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA PRESLEY (FISCAL OFFICER)
(662) 728-2118
Entity
Organization
Contact information
Practice address
801 HATCHIE ST, BOONEVILLE, MS 38829-4803
(662) 728-2118
(662) 728-8720
Mailing address
PO BOX 930, BOONEVILLE, MS 38829-0930
(662) 728-2118
(662) 728-8720
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770067
—
MS
05
—
07178254
—
MS
05
—
07736553
—
MS
Enumeration date
02/08/2007
Last updated
07/15/2011
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