NPI 1194199042
The Arc Southeast Mississippi
Practice location
- Address
- 65 Bonhomie Rd, Hattiesburg, MS 39401-8648
- Phone
- (601) 583-4251
- Fax
- (601) 583-4251
- Mailing address
- PO Box 18800, Hattiesburg, MS 39404-8800
Authorised official
- Name
- Christopher P Moss
- Title
- Treasurer
- Phone
- (601) 580-0636
Registered specialties (3)
Developmentally Disabled Services Day Training Agency
Primary
Child Intellectual and/or Developmental Disabilities Respite Care
Child Physical Disabilities Respite Care
Registry record
- NPI
- 1194199042
- Entity type
- Organization
- NPI issued
- 16 Nov 2015
- Record last updated
- 3 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.