OrganizationActive
Light of the World Adult Day Care, LLC
NPI 1659790152 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianola, MS
Provider details
- NPI number
- 1659790152
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Terry Hutchins, Owner(662) 207-3744
- License
- 111111111 (MS)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 111111111 (MS)
Residential Treatment Facilities
Practice location
405 W Gresham St
Indianola, MS 38751-2053
Phone: (662) 207-3744
Approximate (ZIP-level) locationGet directions
Mailing address
405 W Gresham St
Indianola, MS 38751-2053
Registry dates
- Enumerated
- 2014-04-11
- Last updated
- 2014-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.