NPI 1215177605

Quality of Life Activities Center

Organisation Developmentally Disabled Services Day Training Agency Tylertown, MS

Practice location

Address: 45 Needham Jones Rd, Tylertown, MS 39667-7608
Phone: (601) 876-4713
Fax: (601) 876-4714
Mailing address: PO Box 806, Tylertown, MS 39667-0806

Authorised official

Name: Delores Magee
Title: Director
Phone: (601) 876-4713

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 261QA0600X (MS)

Other Day Training, Developmentally Disabled Services providers in Mississippi →

Registry record

NPI: 1215177605
Entity type: Organization
NPI issued: 25 Feb 2009
Record last updated: 25 Feb 2009

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.