St John's Adult Day Services, LLC
NPI #1760934046 in Indianola, Mississippi
Provider Information
- NPI Number
- 1760934046
- Entity Type
- Organization
- Organization Name
- St John's Adult Day Services, LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Nov 2, 2016
- Last Updated
- Nov 2, 2016
Practice Location
- Address
- 517 E BAKER ST
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2503
- Phone
- (662) 647-1766
Authorized Official
- Name
- MR. WILLIE BRADFORD JR.
- Title
- MANAGING DIRECTOR
- Phone
- (662) 647-1766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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