Organization
PARKWAY SENIOR CARE GROUP INC
Active
Other names
Parkway Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET AGYEI-KYEM (ADMINISTRATOR/OWNER)
(801) 582-5801
Entity
Organization
Contact information
Practice address
2503 GLENDALE AVE, HATTIESBURG, MS 39401
(601) 582-5805
(601) 582-5806
Mailing address
P.O. BOX 15613, HATTIESBURG, MS 39404
(601) 582-5805
(601) 582-5806
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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