WILLIE DAVIS

HATTIESBIURG, MS
NPI1558778936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
(Licence: IL  1907)
Enumeration Date2014-07-17
Last Update Date2014-07-17
Business Address
MR. WILLIE DAVIS RKT
701 DUKE AVE.
HATTIESBIURG, MS 39401
Phone number: 601-550-1164
Mailing Address
MR. WILLIE DAVIS RKT
701 DUKE AVE
HATTIESBURG, MS 39401-4060
Phone number: 601-550-1164