# BOSWELL REGIONAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043239916
- **Authorized official:** MR. RAYMOND JOHNSON (DIRECTOR)
- **Authorized official phone:** (601) 867-5000

## Contact information

- **Practice address:** 445 MAIN ST E, MEADVILLE, MS 39653-9293
- **Practice address phone:** (601) 384-1583
- **Practice address fax:** (601) 384-1585
- **Mailing address:** PO BOX 128, MAGEE, MS 39111-0128
- **Mailing address phone:** (601) 867-5000
- **Mailing address fax:** (601) 849-2586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | BOS-BMR | MS | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020