Healthcare Provider Details

I. General information

NPI: 1790146512
Provider Name (Legal Business Name): GLOBAL ADULT DAYCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 HOSPITAL DR SUITE 140 A
JACKSON MS
39204-3425
US

IV. Provider business mailing address

1815 HOSPITAL DR SUITE 140 A
JACKSON MS
39204-3425
US

V. Phone/Fax

Practice location:
  • Phone: 601-373-1766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ALANNA WRIGHT
Title or Position: OWNER
Credential: NP
Phone: 601-665-7256