NPI 1538792932

Springwood Health & Supportive Living Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Olive Branch, MS

Practice location

Address: 6447 Cheyenne Dr, Olive Branch, MS 38654-5172
Phone: (662) 404-1908

Authorised official

Name: Keanna Antajani Winters
Title: Chief Executive Officer
Phone: (662) 404-1908

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mississippi →

Registry record

NPI: 1538792932
Entity type: Organization
NPI issued: 14 Feb 2020
Record last updated: 14 Feb 2020

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.