Progress Place Llc

NPI 1205226016 - Social Worker - 1041C0700X

NPI Details
NPI 1205226016
Enumeration Date 02/01/2015
Last Updated 02/01/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LATANYA MICHELLE LATANYA
Position SOLE OWNER/MANAGER
Phone (601) 917-1776
Fax
Practice Location
5144 CLEAR CREEK DR
MERIDIAN MS, 39301-8896, US
Phone (601) 917-1776
Fax
Business Location
5144 CLEAR CREEK DR
MERIDIAN MS, 39301-8896, US
Phone (601) 917-1776
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C4820
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According to our database, Progress Place Llc NPI is 1205226016, taxonomy code is 1041C0700X and license number is C4820, license state is located at Mississippi. Progress Place Llc physically located at 5144 Clear Creek Dr, Meridian MS, 39301-8896. NPI Number 1033115704 has the healthcare provider type.

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1205226016 NPI number is provided on an as is basis without warranty of any kind. 1205226016 is maintained by the National Plan & Provider Enumeration System. The contents of Progress Place Llc are for informational purposes only.