NPI 1497194831

Wisdom Adult Day Center

Organisation Point of Service Boyle, MS

Practice location

Address: 162 T M Jones Hwy, Boyle, MS 38730-2005
Phone: (662) 545-4904
Fax: (662) 545-4902

Authorised official

Name: Kimetria M Parks
Title: Administrator
Phone: (662) 545-4904

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Mississippi →

Registry record

NPI: 1497194831
Entity type: Organization
NPI issued: 19 Jun 2013
Record last updated: 19 Jun 2013

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.