Organization
PEACE WELLNESS MOBILE UNIT
Active
Parent organization
PEACE WELLNESS CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACE WELLNESS CENTER, LLC
Authorized official
MRS. PAMELA JARRETT FNP,BC (CEO)
(601) 842-7107
Entity
Organization
Contact information
Practice address
638 NORTHWEST AVE, DURANT, MS 39063-3337
(601) 842-7107
(800) 517-7659
Mailing address
PO BOX 93, VAIDEN, MS 39176-0093
(601) 842-7107
(800) 517-7659
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
983935
MS
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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