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Imani Community Outreach Center
Respite Care in Kosciusko, Mississippi
NPI 1154765808

Imani Community Outreach Center is a Respite Care based in Kosciusko, MS. Imani Community Outreach Center practices in Kosciusko, MS. The NPI Number for Imani Community Outreach Center is 1154765808 and holds a License No. 45383910 (Mississippi).

The current practice location address for Imani Community Outreach Center is 301 E Jefferson St, Kosciusko, MS and can be reached out via phone at 662-289-7676.

Location: 301 E Jefferson St, Kosciusko, MS, 39090-3719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154765808
Provider Name
Imani Community Outreach Center
Credential
Provider Entity Type
Organization
Address
301 E Jefferson St, Kosciusko, MS, 39090-3719
Phone Number
662-289-7676
Fax Number
Provider Enumeration Date
04/24/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
301 E Jefferson St
City
Kosciusko
State
Mississippi
Zip
39090
Phone Number
662-289-7676
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Jefferson St
City
Kosciusko
State
Mississippi
Zip
39090
Phone Number
662-289-7676
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Mississippi)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Mississippi)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
45383910 (Mississippi)
Definition
Definition to come.
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