Peace Wellness Mobile Unit
Organization Active NPI Early Intervention Provider Agency · Durant, MS
NPI 1831460591 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1831460591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 983935 (MS)
- Legal business name
- PEACE WELLNESS MOBILE UNIT
- Practice address
- 638 Northwest Ave
Durant, MS 39063-3337 - Phone
- (601) 842-7107
- Fax
- (800) 517-7659
- NPI assigned
- Jan 25, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- PEACE WELLNESS CENTER, LLC
Authorized official
- Name
- Mrs. Pamela Jarrett, FNP,BC
- Title
- Ceo
- Phone
- (601) 842-7107
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Peace Wellness Mobile Unit
- Part of
- Peace Wellness Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 983935 | MS | Yes |
Addresses
Primary practice location
638 Northwest Ave
Durant, MS 39063-3337
Mailing address
PO Box 93
Vaiden, MS 39176-0093
Phone (601) 842-7107
Other providers in Durant, MS
- Sharon B Lofton
- Mallory Community Health
- Mallory Community Health
- Patients Choice Medical Center of Humphreys County, LLC
- Peace Wellness Center, LLC
- Tiffany Denice Redd
- Bonita T Roby
- Daryl Roby
- Rodgers Medical Clinic
- Phillip Eric Rodgers
All providers in Durant, MS · Early Intervention Provider Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.