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Contact Information

IMANI COMMUNITY OUTREACH CENTER
301 E JEFFERSON ST
KOSCIUSKO, MS39090-3719
 Phone: 662-289-7676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for IMANI COMMUNITY OUTREACH CENTER

NPI # 1467728360
LBN Legal business name IMANI COMMUNITY OUTREACH CENTER
Authorized official TRICIA DUNCAN - (BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2012
Last updated 03/26/2012 - About 14 years ago
Identifiers
MS License # W7478
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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