Beverly Forrest-Butts Valid NPI
Individual provider · Adult Day Care Clinic/Center · Durant, MS
- NPI
- 1083171334
- Type
- Individual (Type 1)
- Primary specialty
- Adult Day Care Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QA0600X
- License number
- 802066241 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-02-22
- Last updated
- 2019-02-22
Practice location
407 Nw Depot St
Durant, MS 39063-3705
(662) 230-0947