Woodland Adult Center, LLC
NPI #1578081410 in Woodland, Mississippi
Provider Information
- NPI Number
- 1578081410
- Entity Type
- Organization
- Organization Name
- Woodland Adult Center, LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 101 MARKET ST
- City
- Woodland
- State
- Mississippi
- ZIP Code
- 39776-9105
- Phone
- (662) 456-0111
Authorized Official
- Name
- MS. JERRY SULLIVAN
- Title
- OWNER
- Phone
- (662) 456-0133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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