25D2228925 CLIA NUMBER - COMMUNITY DEVELOPMENT INC

Laboratory Demographics

CLIA Number: 25D2228925

Facility Name: COMMUNITY DEVELOPMENT INC

Facility Address:
411 OAK ST
RICHTON, MS
ZIP 39476
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Facility Phone Number: 601 788-6704

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1184767568

Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

CLIA Record

Field Name	Field Value
CLIA Number	25D2228925
LAB Type	Assisted Living Facility
Facility Name	COMMUNITY DEVELOPMENT INC
Street	411 OAK ST
City	RICHTON
State	MS
ZIP	39476
Phone	601 788-6704
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024