Provider Demographics
NPI:1578758421
Name:NATCHEZ SENIOR CITIZENS MULTIPURPOSE
Entity Type:Organization
Organization Name:NATCHEZ SENIOR CITIZENS MULTIPURPOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRENA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-442-5082
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-3566
Mailing Address - Country:US
Mailing Address - Phone:601-442-5082
Mailing Address - Fax:601-445-6650
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-3566
Practice Address - Country:US
Practice Address - Phone:601-442-5082
Practice Address - Fax:601-445-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care