Organization
KGI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHIU T KNOX (MANAGER)
(662) 520-8666
Entity
Organization
Contact information
Practice address
783 3RD ST, GRENADA, MS 38901-2310
(662) 402-1312
Mailing address
113 NORTH ST, CLEVELAND, MS 38732-2743
(662) 579-3838
(888) 247-1282
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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