IMANI COMMUNITY CENTER
Managed Care Organizations at Poplar St, Kosciusko, MS

License number
Mississippi 0050750
Category
Mental Health
Type
Mental Health
License number
Mississippi 08533763
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MS. ALLIE G NDIAYE I ETC.
Title: REGISTERED NURSE
Phone: (662) 803-1254
Address
Address
207 Poplar St, Kosciusko, MS 39339
National Provider ID: 1740650969
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Managed Care Organizations licenses in Mississippi


Other Doctors licenses in Mississippi