Organization
WILLOWOOD DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS E. ALFORD (EXECUTIVE DIRECTOR)
(601) 366-0123
Entity
Organization
Contact information
Practice address
1635 BOLING ST, JACKSON, MS 39213-4418
(601) 366-0123
(601) 366-0149
Mailing address
1635 BOLING ST, JACKSON, MS 39213-4418
(601) 366-0123
(601) 366-0149
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
WDC-PVS-WAC-DSA-01
MS
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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