National Provider Identifier Database

BOSWELL REGIONAL CENTER
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

BOSWELL REGIONAL CENTER
1049 SIMPSON HIGHWAY 149 SOUTH
MAGEE, MS39111-0128
Phone: 601-867-5000
Fax: 601-849-2586
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for BOSWELL REGIONAL CENTER

NPI Number 1326068834
Legal business name
LBN
BOSWELL REGIONAL CENTER
Authorized official RAYMOND JOHNSON - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 341
  • MS Medicaid: 00021838

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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