Whalio Doctors

NPI 1275900813

St. John's Respite Care Services, LLC

Organisation Respite Care Indianola, MS

Practice location

Address
517 E Baker St, Indianola, MS 38751-2503
Phone
(662) 647-1766

Authorised official

Name
Willie Bradford
Title
Managing Director
Phone
(662) 647-1766

Registered specialties

Respite Care Primary
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1275900813
Entity type
Organization
NPI issued
31 Aug 2015
Record last updated
9 Nov 2016

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.