NPI 1578885117

South Mississippi Regional Center

Organisation Intellectual Disabilities Intermediate Care Facility Long Beach, MS

Practice location

Address: 1170 W Railroad St, Long Beach, MS 39560-4106
Phone: (228) 867-1348
Fax: (228) 214-5563

Authorised official

Name: Joanna Whaley
Title: Benefit Specialist
Phone: (228) 867-1348

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 311 (MS)

Other Intermediate Care Facility, Intellectual Disabilities providers in Mississippi →

Registry record

NPI: 1578885117
Entity type: Organization
NPI issued: 24 Feb 2010
Record last updated: 24 Feb 2010

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.