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Imani Community Outreach Center
Respite Care in Kosciusko, Mississippi
NPI 1457623118

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 1457623118 and holds a License No. (Mississippi).

The current practice location address for Imani Community Outreach Center is 207 Poplar St, Kosciusko, MS and can be reached out via phone at 662-739-3399.

Location: 207 Poplar St, Kosciusko, MS, 39090-4409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457623118
Provider Name
Imani Community Outreach Center
Credential
Provider Entity Type
Organization
Address
207 Poplar St, Kosciusko, MS, 39090-4409
Phone Number
662-739-3399
Fax Number
Provider Enumeration Date
01/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00500750 05 MS
institution
Provider Business Practice Location Address Details
Address
207 Poplar St
City
Kosciusko
State
Mississippi
Zip
39090-4409
Phone Number
662-739-3399
Fax Number
person
Provider Business Mailing Address Details
Address
207 Poplar St
City
Kosciusko
State
Mississippi
Zip
39090-4409
Phone Number
662-739-3399
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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