The Premier Center Llc

NPI 1265839666 - Social Worker - 1041C0700X

NPI Details
NPI 1265839666
Enumeration Date 12/01/2014
Last Updated 12/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MAMIE ELIZABETH MAMIE
Position OWNER
Phone (662) 809-3794
Fax (662) 226-3794
Practice Location
983 S LINE ST
GRENADA MS, 38901-3723, US
Phone (662) 809-3794
Fax (662) 226-3794
Business Location
983 S LINE ST
GRENADA MS, 38901-3723, US
Phone (662) 809-3794
Fax (662) 226-3794
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C6400
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According to our database, The Premier Center Llc NPI is 1265839666, taxonomy code is 1041C0700X and license number is C6400, license state is located at Mississippi. The Premier Center Llc physically located at 983 S Line St, Grenada MS, 38901-3723. NPI Number 1033115704 has the healthcare provider type.

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1265839666 NPI number is provided on an as is basis without warranty of any kind. 1265839666 is maintained by the National Plan & Provider Enumeration System. The contents of The Premier Center Llc are for informational purposes only.