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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMANI COMMUNITY OUT REACH CENTER

Active Organization

IMANI COMMUNITY OUT REACH CENTER is a Preferred Provider Organization organization located in KOSCIUSKO, Mississippi. NPI 1295174555 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · KOSCIUSKO, MS

Registration Details

NPI Number
1295174555
Provider Type
Organization
NPI Issued
Jun 20, 2013 (13.162852061152 yrs)
Last Updated
Jun 20, 2013
License
7862 (MS)

Practice Information

Address
301 E JEFFERSON ST
KOSCIUSKO, MS, 390903719
Browse MS providers · Browse ZIP 39090
Phone
6622897676
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.