NPI 1649552829

Miles Cororation

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Pearl, MS

Practice location

Address: 3959 Highway 468 W, Pearl, MS 39208-9001
Phone: (601) 824-4865
Fax: (601) 824-4865
Mailing address: 108 Bayshore Dr, Ridgeland, MS 39157-1129

Authorised official

Name: Mary Bates
Title: Founder
Phone: (601) 826-2249

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence N/A (MS)

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Registry record

NPI: 1649552829
Entity type: Organization
NPI issued: 14 Sep 2011
Record last updated: 14 Sep 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.