Organization
HUDSPETH REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P LIPSCOMB PHD (DIRECTOR)
(601) 664-6000
Entity
Organization
Contact information
Practice address
HIGHWAY 475 SOUTH, WHITFIELD, MS 39193
(601) 664-6000
(601) 354-6945
Mailing address
PO BOX 127B, WHITFIELD, MS 39193-1032
(601) 664-6000
(601) 354-6945
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770074
—
MS
Enumeration date
03/11/2010
Last updated
03/11/2010
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