Whalio Doctors

NPI 1174991855

Willowood Developmental Center

Organisation Developmentally Disabled Services Day Training Agency Jackson, MS

Practice location

Address
1635 Boling St, Jackson, MS 39213-4418
Phone
(601) 366-0123
Fax
(601) 366-0149

Authorised official

Name
Curtis E. Alford
Title
Executive Director
Phone
(601) 366-0123

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence WDC-PVS-WAC-DSA-01 (MS)

Registry record

NPI
1174991855
Entity type
Organization
NPI issued
11 Sep 2015
Record last updated
11 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.