Organization
BOSWELL REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT ASHLEY (FACILITY DIRECTOR)
(601) 867-5000
Entity
Organization
Contact information
Practice address
1049 SIMPSON HIGHWAY 149, MAGEE, MS 39111-9644
(601) 867-5000
Mailing address
PO BOX 128, MAGEE, MS 39111-0128
(601) 867-5000
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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