NORTH DELTA ADULT DAYCARE NPI 1619310182

NPI Information

NPI: 1619310182
Provider Name: NORTH DELTA ADULT DAYCARE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1200 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 393-6128
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NORTH DELTA ADULT DAYCARE is an adult day care clinic center in Southaven, MS. NORTH DELTA ADULT DAYCARE NPI is 1619310182. The provider is registered as an organization entity type.

The provider's business location address is:

1200 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671-430
Phone: (662) 393-6128
Fax: (662) 342-0655

The provider's authorized official is Raymond Earl Vallier .
The authorized official title is Ceo/administrator and has the following contact phone number (662) 393-6128.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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