Forever Youthful Adult Educational and Recreational Center
NPI #1871936716 in Shaw, Mississippi
Provider Information
- NPI Number
- 1871936716
- Entity Type
- Organization
- Organization Name
- Forever Youthful Adult Educational and Recreational Center
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Apr 10, 2013
- Last Updated
- Apr 10, 2013
Practice Location
- Address
- 149 EAST PEELER AVE
- City
- Shaw
- State
- Mississippi
- ZIP Code
- 38733-1053
- Phone
- (662) 754-3114
Authorized Official
- Name
- MRS. MILDRED TAYLOR, R.N
- Title
- ADMINISTRATOR
- Phone
- (662) 754-3114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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