Provider Demographics
NPI:1831405760
Name:IN HIS PRESENCE ADULT DAYCARE INC.
Entity type:Organization
Organization Name:IN HIS PRESENCE ADULT DAYCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-379-0238
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38748-0072
Mailing Address - Country:US
Mailing Address - Phone:662-379-0238
Mailing Address - Fax:662-827-5658
Practice Address - Street 1:702 HOOVER ST
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:MS
Practice Address - Zip Code:38748-3112
Practice Address - Country:US
Practice Address - Phone:662-379-0238
Practice Address - Fax:662-827-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility