NPI 1760934046

St John's Adult Day Services, LLC

Organisation Developmentally Disabled Services Day Training Agency 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

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Mississippi →

Registry record

NPI: 1760934046
Entity type: Organization
NPI issued: 2 Nov 2016
Record last updated: 2 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.