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Willie Mae Clerk Adult Day Care ,LLC

Adult Day Care Clinic/Center in Boyle, MS · enumerated 2015 · authorized official Josephine Clerk, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124405840

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Registry record

Entity type Organization (Type 2)
Legal business name Willie Mae Clerk Adult Day Care ,LLC
Practice address 151 Gaines Hwy, Boyle, MS, 38730
Phone (662) 846-7732
Fax (662) 846-7732
Enumeration date May 1, 2015
Last updated in NPPES May 1, 2015

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities · License 08133227 (MS) Primary

Authorized official

Name Josephine Clerk
Title Executive Director
Phone (662) 846-7732

Other identifiers

Identifier Type State Issuer
08133227 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Willie Mae Clerk Adult Day Care ,LLC?
The NPI for Willie Mae Clerk Adult Day Care ,LLC is 1124405840, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Willie Mae Clerk Adult Day Care ,LLC?
NPPES lists Josephine Clerk (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-01.