Organization
THE ARC SOUTHEAST MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER P MOSS (CFO/TREASURER)
(601) 580-0636
Entity
Organization
Contact information
Practice address
65 BONHOMIE RD, HATTIESBURG, MS 39401-8648
(601) 583-4251
(601) 583-4251
Mailing address
PO BOX 18800, HATTIESBURG, MS 39404-8800
(601) 580-0636
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
08/03/2021
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