NPI 1285947408

Ellisville State School

Organisation Intellectual Disabilities Intermediate Care Facility Ellisville, MS

Practice location

Address: 1101 Hwy 11 S, Ellisville, MS 39437-4443
Phone: (601) 477-5607
Fax: (601) 477-5700

Authorised official

Name: Rene'E Brett
Title: Director
Phone: (601) 477-5595

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Mississippi →

Registry record

NPI: 1285947408
Entity type: Organization
NPI issued: 16 Jul 2010
Record last updated: 27 Jan 2011

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.