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.
|Practice Location||149 East Peeler Ave, Shaw, MS 38733-1053, US|
|Practice Location Phone||662-754-3114|
|Practice Location Fax||662-754-3055|
|Legal Business Name||FOREVER YOUTHFUL ADULT EDUCATIONAL AND RECREATIONAL CENTER|
|Other Organization Name||FOREVER YOUTHFUL|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Apr 10, 2013|
|Last Update Date ?||Apr 10, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Adult Day Care||Mississippi|
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/Position||ADMINISTRATOR|
|Authorized Official Phone Number||662-754-3114|