NPI 1275900813
St. John's Respite Care Services, LLC
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
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.