NPI 1659790152

Light of the World Adult Day Care, LLC

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

Practice location

Address: 405 W Gresham St, Indianola, MS 38751-2053
Phone: (662) 207-3744

Authorised official

Name: Terry Hutchins
Title: Owner
Phone: (662) 207-3744

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 111111111 (MS)

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

Registry record

NPI: 1659790152
Entity type: Organization
NPI issued: 11 Apr 2014
Record last updated: 11 Apr 2014

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.