OrganizationActive
Carnage Tender Loving Care Adc
NPI 1104177567 · Adult Day Care Clinic/Center · Itta Bena, MS
Provider details
- NPI number
- 1104177567
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Augusta Carnage, Owner
Practice location
102 Wheeler St
Itta Bena, MS 38941-1919
Phone: (662) 254-0011
Fax: (662) 254-9511
Mailing address
Po Box 474
Itta Bena, MS 38941-0474
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2012-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.