Organization
MATURE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOULDIN A MARLEY MD (PRESIDENT)
(662) 902-4135
Entity
Organization
Contact information
Practice address
1967 HOSPITAL DR, CLARKSDALE, MS 38614-7203
(662) 627-1500
Mailing address
1967 HOSPITAL DR, CLARKSDALE, MS 38614-7203
(662) 627-1500
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
10/22/2013
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