Southwest Development Corporation, Inc.

NPI #1275768319 in Fayette, Mississippi

Provider Information

NPI Number: 1275768319
Entity Type: Organization
Organization Name: Southwest Development Corporation, Inc.
Primary Specialty: Respite Care
Enumeration Date: May 19, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 210 GILCHRIST STREET
Address 2: POST OFFICE BOX 699
City: Fayette
State: Mississippi
ZIP Code: 39069-0699
Phone: (601) 786-3955

Authorized Official

Name: MS. MARY T. IRVING
Title: EXECUTIVE DIRECTOR/ADMINISTRATOR
Phone: (601) 786-3955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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