Provider Demographics
NPI:1811054307
Name:NORTH DELTA PLANNING & DEVELOPMENT DISTRICT INC
Entity type:Organization
Organization Name:NORTH DELTA PLANNING & DEVELOPMENT DISTRICT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-561-4100
Mailing Address - Street 1:PO BOX 1488
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606
Mailing Address - Country:US
Mailing Address - Phone:662-561-4100
Mailing Address - Fax:662-561-4112
Practice Address - Street 1:245 EUREKA ST # C
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-2625
Practice Address - Country:US
Practice Address - Phone:662-561-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332U00000XSuppliersHome Delivered Meals
Not Answered385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00970568OtherRESPITE
MS06733583OtherHOMEMAKER
MS00770311Medicaid