Organization · NPI-2

Golden Angels Adult Daycare, LLC

Community/Behavioral Health · Hattiesburg, MS

NPI number1982080388
StatusActive
Last updated in NPPESAug 7, 2015

Details

NPI
1982080388
Entity type
Organization (NPI-2)
Legal business name
Golden Angels Adult Daycare, LLC
Organization subpart
No
Enumeration date
Aug 7, 2015
Last updated
Aug 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

199 Mary Magdalene Rd
Hattiesburg, MS 39401-8435

Phone 601-394-3941 · Fax 601-928-5399

Mailing address

199 Mary Magdalene Rd
Hattiesburg, MS 39401-8435

Phone 601-394-3941 · Fax 601-928-5399

Authorized official

Freda C Covington
Ceo/Director
6013943941

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