Organization
NORTHEAST COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE R SADLER RN (ADMINISTRATOR)
(662) 322-9963
Entity
Organization
Contact information
Practice address
2847 HIGHWAY 178, TUPELO, MS 38804-9606
(662) 322-9963
(662) 842-7972
Mailing address
126 CAITLYN DR, SALTILLO, MS 38866-8102
(662) 322-9963
(662) 842-7972
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
02/06/2020
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