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WILLIE MAE CLERK ADULT DAY CARE ,LLC
NPI 1124405840
Clinic/Center - Adult Day Care in Boyle, MS

Active since May 01, 2015
151 GAINES HWY, BOYLE, MS 38730(662) 846-7732(662) 846-7732 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willie Mae Clerk Adult Day Care ,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE MAE CLERK ADULT DAY CARE ,LLC (NPI 1124405840) is a healthcare organization registered as an adult day care in Boyle, Mississippi and active in the NPI registry since May 2015. The organization lists Josephine Clerk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124405840
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameWILLIE MAE CLERK ADULT DAY CARE ,LLC
Location Address151 GAINES HWYBoyle, MS 38730-9512
Mailing AddressPo Box 155Boyle, MS 38730-0155 · (662) 846-7732 · Fax (662) 846-7732
Phone(662) 846-7732
Fax(662) 846-7732
Organization SubpartNo
Authorized OfficialJosephine ClerkExecutive Director · (662) 846-7732
Enumeration DateMay 1, 2015
✔ NPI 1124405840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MS · 08133227
151 GAINES HWY, Boyle, MS 38730
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Other Identifiers 1

Medicaid08133227MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Mae Clerk Adult Day Care ,llc's NPI number?

The NPI number for Willie Mae Clerk Adult Day Care ,llc is 1124405840. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Willie Mae Clerk Adult Day Care ,llc located?

Willie Mae Clerk Adult Day Care ,llc is located at 151 Gaines Hwy, Boyle, MS 38730. The listed phone number is (662) 846-7732.

What is Willie Mae Clerk Adult Day Care ,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Willie Mae Clerk Adult Day Care ,llc was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.