institution
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. You can also correspond with Imani Community Outreach Center through the mailing address at 207 POPLAR ST, KOSCIUSKO, MS - 39090-4409 (mailing address contact number: 662-739-3399).

Location: 207 Poplar St, Kosciusko, MS, 39090-4409
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
State
Zip
39090-4409
Phone Number
662-739-3399
Fax Number
person
Provider Business Mailing Address Details
Address
207 Poplar St
City
State
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
License No.
()
Definition
Definition to come.
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