Organization
TRANSFORMATIVE DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER RAYFORD (ADMINISTRATOR)
(901) 569-7165
Entity
Organization
Contact information
Practice address
198 N MEMPHIS ST, HOLLY SPRINGS, MS 38635-2258
(662) 274-3089
(662) 274-3139
Mailing address
198 N MEMPHIS ST, HOLLY SPRINGS, MS 38635-2258
(662) 274-3089
(662) 274-3139
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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