HEAVENLY PALACE ADULT CENTER, INC.

GREENVILLE, MS
NPI1790954592
Entity TypeOrganization
Authorized ContactPATRICK JACKSON
President
662-378-7262
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: MS  07186736)
Enumeration Date2008-02-26
Last Update Date2008-02-26
Business Address
HEAVENLY PALACE ADULT CENTER, INC.
1654 HIGHWAY 1 N
GREENVILLE, MS 38701-0000
Phone number: 662-378-7262
Mailing Address
HEAVENLY PALACE ADULT CENTER, INC.
1654 HIGHWAY 1 N
GREENVILLE, MS 38703-1943
Phone number: 662-378-7262