Imani Community Outreach Center, NPI 1154765808
Private Vehicle in Kosciusko, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154765808
NPI Entity Type Organization
Provider Name Imani Community Outreach Center
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 301 E Jefferson St, Kosciusko, MS, US
Provider Mailing Address 301 E Jefferson St, Kosciusko, MS, US, 390903719
Is Sole Proprietor? No
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Organization Official

Official Name MRS. LPN Allie Glee Ndiaye I
Official Position CEO
Phone 662-289-7676

Primary Taxonomy

Taxonomy Code

347C00000X

Taxonomy Name Private Vehicle
Classification

Private Vehicle

Group

Transportation Services

License State MS
Description An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Other Organization Name

Imani Community OutReach Center
Former Legal Business Name

Business Address

Imani Community Outreach Center
301 E Jefferson St

Kosciusko, MS, US

Phone: 662-289-7676

Mailing Address

Imani Community Outreach Center
301 E Jefferson St
Kosciusko, MS, US
ZIP 390903719
Phone: 662-289-7676

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

311ZA0620X

Nursing & Custodial Care Facilities

Custodial Care Facility

45383910 MS No

385H00000X

Respite Care Facility

Respite Care

MS No

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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