South Mississippi Regional Center
NPI #1578885117 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1578885117
- Entity Type
- Organization
- Organization Name
- South Mississippi Regional Center
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 24, 2010
- Last Updated
- Feb 24, 2010
Practice Location
- Address
- 1170 W RAILROAD ST
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-4106
- Phone
- (228) 867-1348
Authorized Official
- Name
- MRS. JOANNA WHALEY
- Title
- BENEFIT SPECIALIST
- Phone
- (228) 867-1348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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