Organization
THE ARC SOUTHEAST MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER P MOSS (TREASURER)
(601) 580-0636
Entity
Organization
Contact information
Practice address
65 BONHOMIE RD, HATTIESBURG, MS 39401-8648
(601) 583-4251
(601) 583-4251
Mailing address
PO BOX 18800, HATTIESBURG, MS 39404-8800
(601) 580-0636
(601) 583-4251
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/16/2015
Last updated
08/03/2021
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