institution
South Mississippi Regional Center
Intellectual Disabilities Intermediate Care Facility in Long Beach, Mississippi
NPI 1033143284

South Mississippi Regional Center is a Intellectual Disabilities Intermediate Care Facility based in Long Beach, MS. South Mississippi Regional Center practices in Long Beach, MS. The NPI Number for South Mississippi Regional Center is 1033143284 and holds a License No. 311 (Mississippi).

The current practice location address for South Mississippi Regional Center is 1170 W Railroad St, Long Beach, MS and can be reached out via phone at 228-867-1300 and via fax at 228-214-5563.

Location: 1170 W Railroad St, Long Beach, MS, 39560-4106
institution
Provider Profile Details
NPI Number
1033143284
Provider Name
South Mississippi Regional Center
Credential
Provider Entity Type
Organization
Address
1170 W Railroad St, Long Beach, MS, 39560-4106
Phone Number
228-867-1300
Fax Number
228-214-5563
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00021842 05 MS
09555710 05 MS
00770072 05 MS
00095206 05 MS
09015481 05 MS
institution
Provider Business Practice Location Address Details
Address
1170 W Railroad St
City
State
Zip
39560-4106
Phone Number
228-867-1300
Fax Number
228-214-5563
person
Provider Business Mailing Address Details
Address
1170 W Railroad St
City
State
Zip
39560-4106
Phone Number
228-867-1300
Fax Number
228-214-5563
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
311 (Mississippi)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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