NPI 1417464512

Community Living in Mississippi - Baddour

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Senatobia, MS

Practice location

Address: 3297 Highway 51 S, Senatobia, MS 38668-2926
Phone: (662) 689-0501
Mailing address: PO Box 97, Senatobia, MS 38668-0097

Authorised official

Name: Parke Pepper
Title: Chairperson
Phone: (662) 689-0501

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mississippi →

Registry record

NPI: 1417464512
Entity type: Organization
NPI issued: 10 Jan 2018
Record last updated: 10 Jan 2018

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.