NPI 1740524099

South West Adult Day Care

Organisation Early Intervention Provider Agency Byram, MS

Practice location

Address: 5638 Terry Rd, Byram, MS 39272-9200
Phone: (601) 919-6131
Mailing address: 5210 Brookleigh Dr, Byram, MS 39272-6009

Authorised official

Name: Sheila Elaine Williams
Title: Administrator
Phone: (601) 919-6131

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence NO LIC FOR MS (MS)

Other Early Intervention Provider Agency providers in Mississippi →

Registry record

NPI: 1740524099
Entity type: Organization
NPI issued: 26 Nov 2012
Record last updated: 26 Nov 2012

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.