NPI 1831243070

Willowood Developmental Center

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Jackson, MS

Practice location

Address: 1635 Boling St, Jackson, MS 39213-4418
Phone: (601) 366-0123

Authorised official

Name: Curtis E. Alford
Title: Executive Director
Phone: (601) 366-0123

Registered specialties (4)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1831243070
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 27 Jan 2010

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.