NPI 1912383779

Mississippi Health Services, LLC

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

Practice location

Address: 100 W Amite St, Jackson, MS 39201-1203
Phone: (919) 358-8634

Authorised official

Name: Dionne Harrison
Title: President
Phone: (919) 358-8634

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1912383779
Entity type: Organization
NPI issued: 4 Aug 2015
Record last updated: 4 Aug 2015

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.