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Contact Information

CO-MED ADULT DAY CARE CENTER
3249 N CHURCH AVE
LOUISVILLE, MS39339-2072
 Phone: 662-773-7066
 Fax: 662-773-2677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CO-MED ADULT DAY CARE CENTER

NPI Number 1033501739
LBN Legal business name CO-MED ADULT DAY CARE CENTER
Authorized official TOMEKIA CARTER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2015
Last updated 03/17/2018 - About 8 years ago
Identifiers
MS License # 05521743
MS Medicaid 05521743
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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