Organization
BOSWELL REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EUGENE BAILEY D.O. (PHYSICIAN)
(601) 867-5000
Entity
Organization
Contact information
Practice address
SIMPSON OLD HWY 49 NORTH, MAGEE, MS 39111-0128
(601) 867-5000
(601) 867-5236
Mailing address
SIMPSON OLD HWY 49, MAGEE, MS 39111-0128
(601) 867-5000
(601) 867-5236
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
W0709411
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115731
—
MS
Enumeration date
11/03/2006
Last updated
08/22/2020
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