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NPI 1154765808

OrganizationActive

Imani Community Outreach Center

NPI 1154765808 · Private Vehicle · Kosciusko, MS

Provider details

NPI number: 1154765808
Entity type: Organization
Primary specialty: Private VehicleTransportation Services
Authorized official: Allie Ndiaye, Ceo
License: 45383910 (MS)

Practice location

301 E Jefferson St

Kosciusko, MS 39090

Phone: (662) 289-7676

More MS providers

Mailing address

301 E Jefferson St

Kosciusko, MS 39090-3719

Registry dates

Enumerated: 2013-04-24
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Imani Community Outreach Center — NPI 1154765808, Kosciusko, MS | NPI Central