Silver Light Adult Daycare, LLC
NPI #1619484482 in Byram, Mississippi
Provider Information
- NPI Number
- 1619484482
- Entity Type
- Organization
- Organization Name
- Silver Light Adult Daycare, LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Jan 3, 2018
- Last Updated
- Jan 3, 2018
Practice Location
- Address
- 142 CALLAWAY CIR
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272-4499
- Phone
- (769) 218-7005
Authorized Official
- Name
- MR. JOHNNY EARL WILSON JR.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (769) 218-7005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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