Organization
HUDSPETH REGIONAL CENTER
Active
Other names
HRC EIP
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY F SHOEMAKER (ACCOUNTS PAYABLE SUPERVISOR)
(601) 664-6049
Entity
Organization
Contact information
Practice address
HIGHWAY 475 SOUTH, WHITFIELD, MS 39193
(601) 664-6049
(601) 354-6945
Mailing address
PO BOX 127B, WHITFIELD, MS 39193-1032
(601) 664-6049
(601) 354-6945
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015377
—
MS
Enumeration date
04/09/2010
Last updated
04/09/2010
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