NPI 1245604941

Warren County Assn.For Retarded Citizens, INC.

Organisation Developmentally Disabled Services Day Training Agency Vicksburg, MS

Practice location

Address: 100 Smokey Lane, Vicksburg, MS 39180
Phone: (601) 638-2761
Fax: (601) 638-2733

Authorised official

Name: Kearney B Waites
Title: Program Director
Phone: (601) 638-2761

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence MIDD-AGENCY (MS)

Other Day Training, Developmentally Disabled Services providers in Mississippi →

Registry record

NPI: 1245604941
Entity type: Organization
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 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.