Provider Demographics
NPI:1396193728
Name:CHEERFUL CARE TOO INC
Entity Type:Organization
Organization Name:CHEERFUL CARE TOO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-624-2781
Mailing Address - Street 1:290 COMMERCE PARK DR STE E
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2241
Mailing Address - Country:US
Mailing Address - Phone:601-624-2781
Mailing Address - Fax:
Practice Address - Street 1:290 COMMERCE PARK DR STE E
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2241
Practice Address - Country:US
Practice Address - Phone:601-624-2781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty