Organization · Type 2 NPI
Forever Youthful Adult Educational and Recreational Center
Adult Day Care Clinic/Center · Shaw, MS
NPI number
1871936716
Active
Practice location
149 East Peeler Ave
Shaw, MS 38733-1053
Fax (662) 754-3055
Mailing address
149 East Peeler Avenue, PO Box 1053
Shaw, MS 38733-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1871936716
Forever Youthful Adult Educational and Recreational Center's National Provider Identifier is 1871936716, issued on Apr 10, 2013. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Shaw, MS. The record was last updated on Apr 10, 2013.