Organization Name: | IT'S A BLESSING ADULT DAY CARE INC |
NPI Number: | 1053595652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMMA L CARMICHEL (DIRECTOR) |
Mailing Address: | 902 Louisiana St Shelby |
State: | MS US |
Postal Code: | 387740171 |
Phone Number: | 6623985263 |
Fax Number: | 6623985263 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |