Organization
NEW BEGINNINGS ADULT DAY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE MICHELLE MCCOOL RN (ADMINISTRATOR)
(601) 656-0340
Entity
Organization
Contact information
Practice address
562 LINE ST S, PHILADELPHIA, MS 39350-2144
(601) 656-0340
(601) 656-0342
Mailing address
562 LINE ST S, PHILADELPHIA, MS 39350-2144
(601) 656-0340
(601) 656-0342
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
MS
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000409021
—
MS
01
—
1831361898
NPI
MS
Enumeration date
03/31/2008
Last updated
01/26/2023
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