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Organization

BOSWELL REGIONAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND JOHNSON (DIRECTOR)
(601) 867-5000
Entity
Organization

Contact information

Practice address
1049 SIMPSON HIGHWAY 149 SOUTH, MAGEE, MS 39111
(601) 867-5000
(601) 849-2586
Mailing address
PO BOX 128, MAGEE, MS 39111-0128
(601) 867-5000
(601) 849-2586

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BOS-BMR-CM-01

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08339029
MS
Enumeration date
07/28/2006
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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