Imani Community Outreach Ctr
Imani Community Outreach Ctr is a Driver in Kosciusko, Mississippi. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
301 E Jefferson StKosciusko, MS 39090-3719
Phone: (662) 289-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1669749081 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tricia Duncan — Biller · (601) 878-6945 |
| NPI enumerated | November 30, 2011 |
| Last updated in NPPES | March 12, 2012 |
| Mailing address | 301 E Jefferson St, Kosciusko, MS 39090-3719 |