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Ellisville State School
Intellectual Disabilities Intermediate Care Facility in Ellisville, Mississippi
NPI 1811135718

Ellisville State School is a Intellectual Disabilities Intermediate Care Facility based in Ellisville, MS. Ellisville State School practices in Ellisville, MS. The NPI Number for Ellisville State School is 1811135718 and holds a License No. R865285 (Mississippi).

The current practice location address for Ellisville State School is 1101 Hwy 11 S, Ellisville, MS and can be reached out via phone at 601-477-5770 and via fax at 601-477-5895.

Location: 1101 Hwy 11 S, Ellisville, MS, 39437-4443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811135718
Provider Name
Ellisville State School
Credential
Provider Entity Type
Organization
Address
1101 Hwy 11 S, Ellisville, MS, 39437-4443
Phone Number
601-477-5770
Fax Number
601-477-5895
Provider Enumeration Date
01/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 Hwy 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-5770
Fax Number
601-477-5895
person
Provider Business Mailing Address Details
Address
1101 Hwy 11 S
City
Ellisville
State
Mississippi
Zip
39437-4443
Phone Number
601-477-5770
Fax Number
601-477-5895
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
R865285 (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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Similar Doctors in Ellisville, Mississippi:

institution
Ellisville State School
NPI 1285947408
Intellectual Disabilities Intermediate Care Facility
1101 Hwy 11 S,
ELLISVILLE, MS
39437-4443
601-477-5607
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