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Forever Youthful Adult Educational And Recreational Center

Forever Youthful Adult Educational And Recreational Center is a health care provider in Shaw, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 149 East Peeler Ave, Shaw, MS 38733-1053, US
Practice Location Phone662-754-3114
Practice Location Fax662-754-3055
Legal Business NameFOREVER YOUTHFUL ADULT EDUCATIONAL AND RECREATIONAL CENTER
Other Organization NameFOREVER YOUTHFUL
Other Organization Name TypeDoing Business As Name
NPI ?1871936716
Entity TypeOrganization
Enumeration Date ? Apr 10, 2013
Last Update Date ? Apr 10, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Forever Youthful Adult Educational And Recreational Center

SpecialtySpecializationLicenseLicense State
Clinic/CenterAdult Day Care Mississippi

official-icon Authorized Official of Forever Youthful Adult Educational And Recreational Center

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Forever Youthful Adult Educational And Recreational Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Mildred Taylor (R.N)
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number662-754-3114