Willowood Developmental Center is a
Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Jackson, Mississippi. Willowood Developmental Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
1635 Boling St, Jackson, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 366-0123.
NPI number for Willowood Developmental Center is 1831243070 and their current mailing address is 1635 Boling St, Jackson, Mississippi. Willowood Developmental Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1831243070.
Healthcare Provider's Profile
| Full Name | Willowood Developmental Center |
|---|
| Type | Facility |
|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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| Location | 1635 Boling St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831243070
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 01/27/2010
Medical Identifiers
Medical identifiers for Willowood Developmental Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831243070 | NPI | - | NPPES |
| 09015618 | Medicaid | MS | |
| 00770062 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willowood Developmental Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Willowood Developmental Center
1635 Boling St,
Jackson, MS 39213-4418
Ph: (601) 366-0123 | Willowood Developmental Center
1635 Boling St,
Jackson, MS 39213-4418
Ph: (601) 366-0123 |
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