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Organization

MOORHEAD ADULT DAYCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILLIE MAE PRICE (CO-OWNER)
(662) 588-9510
Entity
Organization

Contact information

Practice address
107 SMITH ALLEY, SIDON, MS 38954-6237
(662) 588-9510
Mailing address
119 E PERCY ST, GREENWOOD, MS 38930-6237
(662) 588-9510

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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