Organization
QUALITY OF LIFE ACTIVITIES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES MAGEE (DIRECTOR)
(601) 876-4713
Entity
Organization
Contact information
Practice address
45 NEEDHAM JONES RD, TYLERTOWN, MS 39667-7608
(601) 876-4713
(601) 876-4714
Mailing address
PO BOX 806, TYLERTOWN, MS 39667-0806
(601) 876-4713
(601) 876-4714
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261QA0600X
MS
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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