Organization
FOOTPRINTS ADULT DAY SERVICES
Active
Parent organization
CENTRAL MISSISSIPPI RESIDENTIAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL MISSISSIPPI RESIDENTIAL CENTER
Authorized official
MS. DEBBIE J. FERGUSON (DIRECTOR)
(601) 683-4201
Entity
Organization
Contact information
Practice address
851 NORTHSIDE DR, NEWTON, MS 39345-2384
(601) 683-4200
Mailing address
701 NORTHSIDE DR, NEWTON, MS 39345-2361
(601) 683-4200
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CMRC-BCS-ALZD-01
MS
Other
Enumeration date
07/17/2012
Last updated
07/19/2012
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