Organization
WONDER YEARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK ANNETTE (ADMINISTRATOR)
(662) 561-2799
Entity
Organization
Contact information
Practice address
303 PATTON LN, BATESVILLE, MS 38606-5431
(662) 561-2799
Mailing address
112 LAWSON ST, BATESVILLE, MS 38606-1833
(662) 563-2799
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
MS
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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