Organization · Type 2 NPI
Light of the World Adult Day Care, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianola, MS
Practice location
405 W Gresham St
Indianola, MS 38751-2053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 111111111 (MS) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1659790152
Light of the World Adult Day Care, LLC's National Provider Identifier is 1659790152, issued on Apr 11, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Indianola, MS. The record was last updated on Apr 11, 2014.