Whalio Doctors

NPI 1407137086

The Pharos INC.

Organisation Case Management Agency Itta Bena, MS

Practice location

Address
300 Sunflower Rd APT 20, Itta Bena, MS 38941-2730
Phone
(662) 422-9877

Authorised official

Name
Kizmet Cleveland
Title
Executive Director
Phone
(662) 422-9877

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X

Registry record

NPI
1407137086
Entity type
Organization
NPI issued
8 Sep 2011
Record last updated
8 Sep 2011

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.