OrganizationActive
Forever Youthful Adult Educational and Recreational Center
NPI 1871936716 · Adult Day Care Clinic/Center · Shaw, MS
Provider details
- NPI number
- 1871936716
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mildred Taylor, Administrator
Practice location
149 East Peeler Ave
Shaw, MS 38733-1053
Phone: (662) 754-3114
Fax: (662) 754-3055
Mailing address
149 East Peeler Avenue
Shaw, MS 38733-1053
Registry dates
- Enumerated
- 2013-04-10
- Last updated
- 2013-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.