National Provider Identifier Database

SOUTH MISSISSIPPI 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

SOUTH MISSISSIPPI REGIONAL CENTER
1170 W RAILROAD ST
LONG BEACH, MS39560-4106
Phone: 228-867-1348
Fax: 228-214-5563
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for SOUTH MISSISSIPPI REGIONAL CENTER

NPI Number 1578885117
Legal business name
LBN
SOUTH MISSISSIPPI REGIONAL CENTER
Authorized official JOANNA WHALEY - (BENEFIT SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/24/2010
Last updated 02/24/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 311
  • MS Other: 00770072 PROVIDER NUMBER

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.

Reviews for SOUTH MISSISSIPPI REGIONAL CENTER

There are currently no reviews for SOUTH MISSISSIPPI REGIONAL CENTER


NPIdb - Home
v2.201