Organization
WARREN COUNTY ASSN.FOR RETARDED CITIZENS, INC.
Active
Other names
MIDD West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEARNEY B WAITES (PROGRAM DIRECTOR)
(601) 638-2761
Entity
Organization
Contact information
Practice address
100 SMOKEY LANE, VICKSBURG, MS 39180
(601) 638-2761
(601) 638-2733
Mailing address
100 SMOKEY LANE, VICKSBURG, MS 39180
(601) 638-2761
(601) 638-2733
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MIDD-AGENCY
MS
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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