NPI 1558613505

Doddsville Adult Day Care

Organisation Preferred Provider Organization Doddsville, MS

Practice location

Address: 133 Miller, Doddsville, MS 38736-8736
Phone: (662) 588-2000
Fax: (662) 756-0141
Mailing address: PO Box 698, Ruleville, MS 38771-0698

Authorised official

Name: Dorothy Burton
Title: Administrator
Phone: (662) 588-2000

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence NONE REQUIRED (MS)

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Registry record

NPI: 1558613505
Entity type: Organization
NPI issued: 15 Oct 2012
Record last updated: 15 Oct 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.