OrganizationActive
Community Adult Day Care
NPI 1629310487 · Adult Day Care Clinic/Center · Mound Bayou, MS
Provider details
- NPI number
- 1629310487
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beverly Johnson, Administrator(662) 719-2005
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
114 S Edwards Avenue
Mound Bayou, MS 38762
Phone: (662) 719-2005
Approximate (ZIP-level) locationGet directions
Mailing address
404 Holt St
Mound Bayou, MS 38762-9759
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.