NPI 1831460591

Peace Wellness Mobile Unit

Organisation Early Intervention Provider Agency Durant, MS

Practice location

Address: 638 Northwest Ave, Durant, MS 39063-3337
Phone: (601) 842-7107
Fax: (800) 517-7659
Mailing address: PO Box 93, Vaiden, MS 39176-0093

Authorised official

Name: Pamela Jarrett
Title: Ceo
Phone: (601) 842-7107

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 983935 (MS)

Other Early Intervention Provider Agency providers in Mississippi →

Registry record

NPI: 1831460591
Entity type: Organization
NPI issued: 25 Jan 2012
Record last updated: 25 Jan 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.