Mall Services, Llc - Jackson, MS

Mall Services, Llc

Clinic/Center in Jackson, Mississippi

NPI 1245477165

Mall Services, Llc is a Clinic/Center based in Jackson, MS. Mall Services, Llc practices in Jackson, MS. The NPI Number for Mall Services, Llc is 1245477165 and holds a License No. R656046 (Mississippi).

The current practice location address for Mall Services, Llc is 350 W Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-982-0673 and via fax at 601-982-0459.

Location: 350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681

NPI Number

1245477165

Provider Name

Mall Services, Llc

Credential

Provider Entity Type

Organization

Address

350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681

Phone Number

601-982-0673

Fax Number

601-982-0459

Provider Enumeration Date

01/14/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
08406271	05	MS
00115980	05	MS
1710084504	01		NPI

Address

350 W Woodrow Wilson Ave

City

Jackson

State

Mississippi

Zip

39213-7681

Phone Number

601-982-0673

Fax Number

601-982-0459

Address

350 W Woodrow Wilson Ave

City

Jackson

State

Mississippi

Zip

39213-7681

Phone Number

601-982-0673

Fax Number

601-982-0459

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

R656046 (Mississippi)

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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