Majestic Estates Llc.
NPI #1932525714 in Forest, Mississippi
Provider Information
- NPI Number
- 1932525714
- Entity Type
- Organization
- Organization Name
- Majestic Estates Llc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
Practice Location
- Address
- 511 N BROAD ST
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-3511
- Phone
- (601) 405-2116
Authorized Official
- Name
- PHAREN NELSON
- Title
- OWNER
- Phone
- (601) 405-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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