NPI 1699956268

Ancor Adult Day Care Center

Organisation Exclusive Provider Organization Tutwiler, MS

Practice location

Address: 813 Hancock Street, Tutwiler, MS 38963
Phone: (662) 345-0222
Mailing address: PO Box 1007, Greenwood, MS 38935-1007

Authorised official

Name: Bertrand Antoine
Title: President
Phone: (662) 345-0222

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 00437897 (MS)

Other Exclusive Provider Organization providers in Mississippi →

Registry record

NPI: 1699956268
Entity type: Organization
NPI issued: 23 Nov 2007
Record last updated: 13 May 2008

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.