Ancor Adult Day Care Center

LBN: Ancor Adult Day Care Center
Ancor Adult Day Care Center is an health care organization with primary practice located at 813 Hancock Street , Tutwiler MS 38963. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Ancor Adult Day Care Center can be contacted via phone (662) 345-0222, or through Antoine, Bertrand via phone (662) 345-0222.

Contact Information

Primary practice address
813 Hancock Street Tutwiler MS 38963
Phone: (662) 345-0222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Antoine, Bertrand
Phone: (662) 345-0222

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 00437897 Mississippi

Profile Details

NPI number 1699956268
LBN Legal business name Ancor Adult Day Care Center
DBA Doing business as
Authorized official Antoine, Bertrand
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2007
Last updated May 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699956268 NPPES
Mississippi MEDICAID 08081816
Mississippi MEDICAID 00437897

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