institution
Imani Community Outreach Ctr
Driver in Kosciusko, Mississippi
NPI 1669749081

Imani Community Outreach Ctr is a Driver based in Kosciusko, MS. Imani Community Outreach Ctr practices in Kosciusko, MS. The NPI Number for Imani Community Outreach Ctr is 1669749081 and holds a License No. (Mississippi).

The current practice location address for Imani Community Outreach Ctr 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
institution
Provider Profile Details
NPI Number
1669749081
Provider Name
Imani Community Outreach Ctr
Credential
Provider Entity Type
Organization
Address
301 E Jefferson St, Kosciusko, MS, 39090-3719
Phone Number
662-289-7676
Fax Number
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00686258 05 MS
institution
Provider Business Practice Location Address Details
Address
301 E Jefferson St
City
State
Zip
39090-3719
Phone Number
662-289-7676
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Jefferson St
City
State
Zip
39090-3719
Phone Number
662-289-7676
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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