Organization
AMAZING ADULT DAYCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA YOUNG (OWNER)
(662) 322-9687
Entity
Organization
Contact information
Practice address
2484 MAIN ST, PLANTERSVILLE, MS 38862-5002
(662) 205-4597
Mailing address
2484 MAIN ST, PLANTERSVILLE, MS 38862-5002
(662) 205-4597
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063899326
—
MS
Enumeration date
04/16/2020
Last updated
04/16/2020
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