SearchMississippiDevelopmentally Disabled Services Day Training Agency

Willie Davis, RKT

NPI 1558778936 · on the registry since 2014 · sole proprietor

Practice

Address
701 Duke Ave.
Hattiesbiurg, MS 39401
Phone
(601) 550-1164

Registry record

Primary taxonomy
Developmentally Disabled Services Day Training Agency
251C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi