Canonical ID: NK-GSxp9TvWGPe8mzThHmqAX3 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 514 Woodrow Wilson Ave, Ste C, Jackson, MS 39216 | eng | us_ms_med_exclusions | us-medms-cf67f1245c01270797d5827f5eb7e8ebed7c2709 | |||
Organization:address | P.O. BOX 4610, JACKSON, MS 392964610 | ext_us_cms_npi | us-npi-1154549707 | ||||
Organization:address | 514 C WOODROW WILSON, JACKSON, MS 39216 | ext_us_cms_npi | us-npi-1154549707 | ||||