Organization
MILES CORORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BATES (FOUNDER)
(601) 826-2249
Entity
Organization
Contact information
Practice address
3959 HIGHWAY 468 W, PEARL, MS 39208-9001
(601) 824-4865
(601) 824-4865
Mailing address
108 BAYSHORE DR, RIDGELAND, MS 39157-1129
(601) 826-2249
(601) 824-4865
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
N/A
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09331-M3000-038
MS.VOCATIONAL REHAB
MS
Enumeration date
09/14/2011
Last updated
09/14/2011
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