Organization
DODDSVILLE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY BURTON (ADMINISTRATOR)
(662) 588-2000
Entity
Organization
Contact information
Practice address
133 MILLER, DODDSVILLE, MS 38736-8736
(662) 588-2000
(662) 756-0141
Mailing address
PO BOX 698, RULEVILLE, MS 38771-0698
(662) 588-2000
(662) 745-0141
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NONE REQUIRED
MS
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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