Organization
BROADMOOR ADULT ENRICHMENT DAYCARE, INC.
Active
Other names
Noah's Ark Daycare Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIE HAYNES STURGIS (ADMINISTRATOR)
(601) 982-8156
Entity
Organization
Contact information
Practice address
5176 KEELE ST, JACKSON, MS 39206-4313
(601) 982-8156
(601) 982-8956
Mailing address
5176 KEELE ST, JACKSON, MS 39206-4313
(601) 982-8156
(601) 982-8956
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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