NPI 1568558161

Southern Ms Planning and Development District

Organisation Case Management Agency Gulfport, MS

Practice location

Address: 9229 Hwy 49, Gulfport, MS 39503
Phone: (228) 868-2311
Fax: (228) 868-2550

Authorised official

Name: Dorothy Walley
Title: Medicaid Waiver Supervisor
Phone: (228) 314-1475

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Mississippi →

Registry record

NPI: 1568558161
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 22 Aug 2020

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.