Moorhead Adult Daycare
Organization Active NPI Developmentally Disabled Services Day Training Agency · Sidon, MS
NPI 1891030516 · NPPES record last updated Dec 6, 2012
Key facts
- NPI
- 1891030516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- MOORHEAD ADULT DAYCARE
- Practice address
- 107 Smith Alley
Sidon, MS 38954-6237 - Phone
- (662) 588-9510
- NPI assigned
- Dec 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Lillie Mae Price
- Title
- Co-Owner
- Phone
- (662) 588-9510
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
107 Smith Alley
Sidon, MS 38954-6237
Mailing address
119 E Percy St
Greenwood, MS 38930-6237
Phone (662) 588-9510
Other providers in Sidon, MS
All providers in Sidon, MS · Developmentally Disabled Services Day Training Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.