Provider Demographics
NPI:1033574413
Name:NEW BEGINNINGS ADULT DAYCARE 2 LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS ADULT DAYCARE 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MCCOOL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-483-4061
Mailing Address - Street 1:235 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39307-5671
Mailing Address - Country:US
Mailing Address - Phone:601-483-4061
Mailing Address - Fax:601-483-4062
Practice Address - Street 1:235 69TH AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-5671
Practice Address - Country:US
Practice Address - Phone:601-483-4061
Practice Address - Fax:601-483-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251C00000X
261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services