Forever Youthful

LBN: Forever Youthful Adult Educational And Recreational Center
Forever Youthful is an health care organization with primary practice located at 149 East Peeler Ave , Shaw MS 38733-1053. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Forever Youthful Adult Educational And Recreational Center can be contacted via phone (662) 754-3114, or through Taylor, Mildred via phone (662) 754-3114.

Contact Information

Primary practice address
149 East Peeler Ave Shaw MS 38733-1053
Phone: (662) 754-3114
Fax: (662) 754-3055
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Mildred Registered Nurse (RN)
Phone: (662) 754-3114

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X Mississippi

Profile Details

NPI number 1871936716
LBN Legal business name Forever Youthful Adult Educational And Recreational Center
DBA Doing business as Forever Youthful
Authorized official Taylor, Mildred Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Apr 10th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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