Imani Community Outreach Center

LBN: Imani Community Outreach Center
Imani Community Outreach Center is an health care organization with primary practice located at 301 E Jefferson St , Kosciusko MS 39090. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Private Vehicle, Respite Care Facility / Respite Care. Transportation Services / Private Vehicle is the primary health care specialty. Imani Community Outreach Center can be contacted via phone (662) 289-7676, or through Ndiaye, Allie Glee via phone (662) 289-7676.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 45383910 Mississippi
Transportation Services / Private Vehicle 347C00000X Mississippi
Respite Care Facility / Respite Care 385H00000X Mississippi

Profile Details

NPI number 1154765808
LBN Legal business name Imani Community Outreach Center
DBA Doing business as Imani Community Outreach Center
Authorized official Ndiaye, Allie Glee Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2013
Last updated Jul 21st, 2022 - about 4 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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