Imani Community Out Reach Center
Imani Community Out Reach Center is a Preferred Provider Organization in Kosciusko, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.
- Licensed in
- MS
- In the registry since
- 2013
Practice location Address checks out
301 E Jefferson StKosciusko, MS 39090-3719
Phone: (662) 289-7676
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 7862 (MS) |
|---|
Record details
| NPI number | 1295174555 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Allie Ndiaye — Ceo · (662) 289-7676 |
| Other names | Garden Angles |
| NPI enumerated | June 20, 2013 |
| Last updated in NPPES | June 20, 2013 |
| Mailing address | 301 E Jefferson St, Kosciusko, MS 39090-3719 |