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Organization

METHODIST CHILDREN'S HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE DUGGAR (PRESIDENT)
(601) 853-5000
Entity
Organization

Contact information

Practice address
805 N FLAG CHAPEL RD, JACKSON, MS 39209-2208
(601) 853-5000
Mailing address
PO BOX 66, CLINTON, MS 39060-0066
(601) 853-5000

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
112580905
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03078895
MS
Enumeration date
09/25/2015
Last updated
10/23/2015
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