NPI 1275977357

Imani Community Out Reach Center

Organisation Community Health Worker Kosciusko, MS

Practice location

Address: 308 N Jackson St, Kosciusko, MS 39090-3322
Phone: (662) 289-7676
Fax: (662) 289-7688

Authorised official

Name: Allie Glee Ndiaye
Title: Ceo
Phone: (662) 289-7676

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

Other Clinic/Center providers in Mississippi →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Registry record

NPI: 1275977357
Entity type: Organization
NPI issued: 19 Apr 2013
Record last updated: 13 Mar 2014

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.