Langston Jett Enterprises, Llc | |
3512 36th Ave Meridian MS 39307-3603 | |
(601) 917-9483 | |
Not Available |
Full Name | Langston Jett Enterprises, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3512 36th Ave, Meridian, Mississippi |
Authorized Official Name and Position | Saron Cornelius Heath (DIRECTOR/ADMINISTRATOR) |
Authorized Official Contact | 6019179483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Langston Jett Enterprises, Llc 3512 36th Ave Meridian MS 39307-3603 Ph: (601) 917-9483 | Langston Jett Enterprises, Llc 3512 36th Ave Meridian MS 39307-3603 Ph: (601) 917-9483 |
NPI Number | 1417210154 |
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Provider Enumeration Date | 06/18/2012 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417210154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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