Healthcare Provider Details

I. General information

NPI: 1598995136
Provider Name (Legal Business Name): NEW HORIZON ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 GEORGE ST POST OFFICE BOX 1114
GREENWOOD MS
38930-4503
US

IV. Provider business mailing address

305 GEORGE ST POST OFFICE BOX 1114
GREENWOOD MS
38930-4503
US

V. Phone/Fax

Practice location:
  • Phone: 662-453-4898
  • Fax: 662-453-1552
Mailing address:
  • Phone: 662-453-4898
  • Fax: 662-453-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. JUDY D. HARRIS-BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 662-453-4898