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1003218058
SOUTHAVEN SERVICES
SOUTHAVEN, MS
NPI
1003218058
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Entity Type
Organization
Authorized Contact
CHARLIE D SPEARMAN
Executive Director
662-287-9883
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
SOUTHAVEN SERVICES
1326 GOODMAN RD E
SOUTHAVEN, MS 38671-9542
Phone number: 662-536-3132
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Mailing Address
SOUTHAVEN SERVICES
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-9883
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