institution
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. You can also correspond with Imani Community Outreach Center through the mailing address at 301 E JEFFERSON ST, KOSCIUSKO, MS - 39090-3719 (mailing address contact number: 662-289-7676).

Location: 301 E Jefferson St, Kosciusko, MS, 39090-3719
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
State
Zip
39090
Phone Number
662-289-7676
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Jefferson St
City
State
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
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
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
License No.
45383910 (Mississippi)
Definition
Definition to come.
semi-verified symbol
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