| NPI | 1710240759 |
|---|---|
| Former Legal Business Name | SUPER NATURAL ADULT DAYCARE LLC |
| Entity Type | Organization |
| Authorized Contact | JESSIE MAE GRAYSON CEO/Owner 662-820-0522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |