| Co-med Adult Day Care Center | |
|
3249 N Church Ave Louisville MS 39339-2072 | |
| (662) 773-7066 | |
| (662) 773-2677 |
| Full Name | Co-med Adult Day Care Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3249 N Church Ave, Louisville, Mississippi |
| Authorized Official Name and Position | Tomekia Carter (DIRECTOR) |
| Authorized Official Contact | 6627737066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Co-med Adult Day Care Center 3249 N Church Ave Louisville MS 39339-2072 Ph: (662) 773-7066 | Co-med Adult Day Care Center 3249 N Church Ave Louisville MS 39339-2072 Ph: (662) 773-7066 |
| NPI Number | 1033501739 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033501739 | NPI | - | NPPES |
| 05521743 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 05521743 (Mississippi) | Primary |
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