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Beverly Forrest-butts
Adult Day Care Clinic/Center in Durant, Mississippi
NPI 1083171334

Beverly Forrest-butts is an Adult Day Care Clinic/Center based in Winona, MS and is specialized in Adult Day Care. Beverly Forrest-butts practices in Durant, MS. The NPI Number for Beverly Forrest-butts is 1083171334 and holds a License No. 802066241 (Mississippi).

The current practice location address for Beverly Forrest-butts is 407 Nw Depot St, Durant, MS and can be reached out via phone at 662-230-0947.

Location: 407 Nw Depot St, Durant, MS, 38967-2802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083171334
Provider Name
Beverly Forrest-butts
Credential
Provider Entity Type
Individual
Gender
Female
Address
407 Nw Depot St, Durant, MS, 38967-2802
Phone Number
662-230-0947
Fax Number
Provider Enumeration Date
02/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
407 Nw Depot St
City
Durant
State
Mississippi
Zip
39063-3705
Phone Number
662-230-0947
Fax Number
person
Provider Business Mailing Address Details
Address
407 Nw Depot St
City
Durant
State
Mississippi
Zip
39063-3705
Phone Number
662-230-0947
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
802066241 (Mississippi)
Definition
Definition to come...
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