Organization
SUPER NATURAL ADULT DAYCARE LLC
Active
Parent organization
SUPER NATURAL ADULT DAYCARE LLC
Other names
Super Natural Adult Daycare LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPER NATURAL ADULT DAYCARE LLC
Authorized official
MRS. JESSIE MAE GRAYSON (CEO/OWNER)
(662) 820-0522
Entity
Organization
Contact information
Practice address
1646 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 820-0522
Mailing address
1646 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 820-0522
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
MS
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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