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Light Of The World Adult Day Care, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indianola, Mississippi
NPI 1659790152

Light Of The World Adult Day Care, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Indianola, MS. Light Of The World Adult Day Care, Llc practices in Indianola, MS. The NPI Number for Light Of The World Adult Day Care, Llc is 1659790152 and holds a License No. 111111111 (Mississippi).

The current practice location address for Light Of The World Adult Day Care, Llc is 405 W Gresham St, Indianola, MS and can be reached out via phone at 662-207-3744.

Location: 405 W Gresham St, Indianola, MS, 38751-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659790152
Provider Name
Light Of The World Adult Day Care, Llc
Credential
Provider Entity Type
Organization
Address
405 W Gresham St, Indianola, MS, 38751-2053
Phone Number
662-207-3744
Fax Number
Provider Enumeration Date
04/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1111111111 05 MS
institution
Provider Business Practice Location Address Details
Address
405 W Gresham St
City
Indianola
State
Mississippi
Zip
38751-2053
Phone Number
662-207-3744
Fax Number
person
Provider Business Mailing Address Details
Address
405 W Gresham St
City
Indianola
State
Mississippi
Zip
38751-2053
Phone Number
662-207-3744
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
111111111 (Mississippi)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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