NPI 1245502962
Imani Community Outreach Center
Practice location
- Address
- 301 E Jefferson St, Kosciusko, MS 39090-3719
- Phone
- (662) 289-7676
Authorised official
- Name
- Tricia B Duncan
- Title
- Biller
- Phone
- (601) 878-6945
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1245502962
- Entity type
- Organization
- NPI issued
- 27 Jan 2012
- Record last updated
- 12 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.