| NPI | 1518260330 |
|---|---|
| Doing Business As | FAMILY CARE OF MAIN STREET |
| Entity Type | Organization |
| Authorized Contact | KIRSTIE EVANS CFO 601-765-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |