1295174555 IMANI COMMUNITY OUT REACH CENTER
Preferred Provider Organization
Active
Basic Information
- Organization Name
- IMANI COMMUNITY OUT REACH CENTER
- Enumeration Date
- June 20, 2013
- Last Update
- June 20, 2013
- Authorized Official
- MS. ALLIE G NDIAYE I
CEO
Phone: (662) 289-7676
Practice Location
- Address
- 301 E JEFFERSON ST
KOSCIUSKO, MS 390903719 - Phone
- (662) 289-7676
Mailing Address
- Address
- 301 E JEFFERSON ST
KOSCIUSKO, MS 390903719 - Phone
- (662) 289-7676
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | 7862 | MS | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261QA0600X | 01 | N/A | ADULT DAY CARE |
| 08533763 | 01 | MS | HOSPICE |
| 172V00000X | 01 | MS | CLINIC SOCIAL WORKER |
Frequently Asked Questions
What is IMANI COMMUNITY OUT REACH CENTER's NPI number?
IMANI COMMUNITY OUT REACH CENTER's NPI number is 1295174555.
Which doctor has NPI number 1295174555?
The doctor with NPI number 1295174555 is IMANI COMMUNITY OUT REACH CENTER.
What is IMANI COMMUNITY OUT REACH CENTER's practice address?
IMANI COMMUNITY OUT REACH CENTER's practice address is 301 E JEFFERSON ST, KOSCIUSKO, MS, 390903719.
Which doctor practices at 301 E JEFFERSON ST, KOSCIUSKO, MS, 390903719?
IMANI COMMUNITY OUT REACH CENTER practices at 301 E JEFFERSON ST, KOSCIUSKO, MS, 390903719.
What is IMANI COMMUNITY OUT REACH CENTER's phone number?
IMANI COMMUNITY OUT REACH CENTER's phone number is (662) 289-7676.
Who is (662) 289-7676?
(662) 289-7676 is the phone number for IMANI COMMUNITY OUT REACH CENTER.
What is IMANI COMMUNITY OUT REACH CENTER's specialty?
IMANI COMMUNITY OUT REACH CENTER's specialty is Preferred Provider Organization.
What type of doctor is IMANI COMMUNITY OUT REACH CENTER?
IMANI COMMUNITY OUT REACH CENTER is a Preferred Provider Organization.
Is IMANI COMMUNITY OUT REACH CENTER a Preferred Provider Organization?
Yes, IMANI COMMUNITY OUT REACH CENTER is a Preferred Provider Organization.
Is IMANI COMMUNITY OUT REACH CENTER still practicing?
Yes, IMANI COMMUNITY OUT REACH CENTER is currently practicing.
Is IMANI COMMUNITY OUT REACH CENTER accepting new patients?
IMANI COMMUNITY OUT REACH CENTER may be accepting new patients. Please call their office at (662) 289-7676 to inquire about availability.
Is NPI 1295174555 still active?
Yes, NPI 1295174555 is currently active.
Where does IMANI COMMUNITY OUT REACH CENTER practice?
IMANI COMMUNITY OUT REACH CENTER practices in KOSCIUSKO, MS.