OrganizationActive
St John'S Adult Day Services, LLC
NPI 1760934046 · Developmentally Disabled Services Day Training Agency · Indianola, MS
Provider details
- NPI number
- 1760934046
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Willie Bradford, Managing Director(662) 647-1766
Specialties & taxonomies
Agencies
Practice location
517 E Baker St
Indianola, MS 38751-2503
Phone: (662) 647-1766
Approximate (ZIP-level) locationGet directions
Mailing address
517 E Baker St
Indianola, MS 38751-2503
Registry dates
- Enumerated
- 2016-11-02
- Last updated
- 2016-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.