Organization Name: | MISSISSIPPI HEALTH SERVICES, LLC |
NPI Number: | 1912383779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIONNE HARRISON (PRESIDENT) |
Mailing Address: | 100 W Amite St Jackson |
State: | MS US |
Postal Code: | 392011203 |
Phone Number: | 9193588634 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |