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Imani Community Outreach Ctr Inc
Home Health Agency in Kosciusko, Mississippi
NPI 1912264250

Imani Community Outreach Ctr Inc is a Home Health Agency based in Kosciusko, MS. Imani Community Outreach Ctr Inc practices in Kosciusko, MS. The NPI Number for Imani Community Outreach Ctr Inc is 1912264250 and holds a License No. (Mississippi).

The current practice location address for Imani Community Outreach Ctr Inc is 301 E Jefferson St, Kosciusko, MS and can be reached out via phone at 662-289-7676 and via fax at 662-289-7678.

Location: 301 E Jefferson St, Kosciusko, MS, 39090-3719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912264250
Provider Name
Imani Community Outreach Ctr Inc
Credential
Provider Entity Type
Organization
Address
301 E Jefferson St, Kosciusko, MS, 39090-3719
Phone Number
662-289-7676
Fax Number
662-289-7678
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00686258 05 MS
09950749 05 MS
00500750 05 MS
institution
Provider Business Practice Location Address Details
Address
301 E Jefferson St
City
Kosciusko
State
Mississippi
Zip
39090-3719
Phone Number
662-289-7676
Fax Number
662-289-7678
person
Provider Business Mailing Address Details
Address
301 E Jefferson St
City
Kosciusko
State
Mississippi
Zip
39090-3719
Phone Number
662-289-7676
Fax Number
662-289-7678
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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