Imani Community Outreach Center
Imani Community Outreach Center is an Adult Care Home Facility in Kosciusko, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.
- Licensed in
- MS
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
301 E Jefferson StKosciusko, MS 39090
Phone: (662) 289-7676
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X (MS) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence 45383910 (MS) |
| Respite Care | Taxonomy 385H00000X (MS) |
Record details
| NPI number | 1154765808 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Allie Ndiaye — Ceo · (662) 289-7676 |
| Other names | Imani Community Outreach Center |
| NPI enumerated | April 24, 2013 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 301 E Jefferson St, Kosciusko, MS 39090-3719 |