NPI | 1134741945 |
---|---|
Doing Business As | EXTENDED CARE CLINICAL SERVICES |
Entity Type | Organization |
Authorized Contact | MALLORY MOWDY President 601-730-0602 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-05-14 |
Last Update Date | 2023-09-06 |