Organization
FAMILY FIRST PCS, LLC ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HONDA CAPRI DORTCH (OWNER)
(662) 571-4099
Entity
Organization
Contact information
Practice address
402 1ST AVE NE, MAGEE, MS 39111-3508
(662) 571-4099
Mailing address
120 JACKSON RIDGE RD, CANTON, MS 39046-9600
(662) 571-4099
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MS
Other
Enumeration date
12/06/2015
Last updated
12/07/2015
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