Willowood Developmental Center

LBN: Willowood Developmental Center
Willowood Developmental Center is an health care organization with primary practice located at 1635 Boling St , Jackson MS 39213-4418. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Willowood Developmental Center can be contacted via phone (601) 366-0123, or through Alford, Curtis E. via phone (601) 366-0123.

Contact Information

Primary practice address
1635 Boling St Jackson MS 39213-4418
Phone: (601) 366-0123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alford, Curtis E.
Phone: (601) 366-0123

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1831243070
LBN Legal business name Willowood Developmental Center
DBA Doing business as
Authorized official Alford, Curtis E.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 27th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831243070 NPPES
Mississippi MEDICAID 09015618
Mississippi MEDICAID 00770062

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