Healthcare Provider Details

I. General information

NPI: 1396649950
Provider Name (Legal Business Name): COMPASSIONATE ADULT DAY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MCCULLOUGH MCLIN RD
FLORENCE MS
39073-7984
US

IV. Provider business mailing address

306 MCCULLOUGH MCLIN RD
FLORENCE MS
39073-7984
US

V. Phone/Fax

Practice location:
  • Phone: 601-214-4283
  • Fax: 601-845-0695
Mailing address:
  • Phone: 601-214-4283
  • Fax: 601-845-0695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. PAMELA ANN HERVEY
Title or Position: DIRECTOR
Credential:
Phone: 601-214-4283