Garden Angles

LBN: Imani Community Out Reach Center
Garden Angles is an health care organization with primary practice located at 301 E Jefferson St , Kosciusko MS 39090-3719. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Imani Community Out Reach Center can be contacted via phone (662) 289-7676, or through Ndiaye, Allie G via phone (662) 289-7676.

Contact Information

Primary practice address
301 E Jefferson St Kosciusko MS 39090-3719
Phone: (662) 289-7676
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ndiaye, Allie G
Phone: (662) 289-7676

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 7862 Mississippi

Profile Details

NPI number 1295174555
LBN Legal business name Imani Community Out Reach Center
DBA Doing business as Garden Angles
Authorized official Ndiaye, Allie G
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295174555 NPPES
Other 261QA0600X ADULT DAY CARE
Other 08533763 ADULT DAY CARE
Other 172V00000X ADULT DAY CARE

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