Organization
METHODIST CHILDREN'S HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON LOGGINS (CHIEF OPERATIONS OFFICER)
(601) 853-5000
Entity
Organization
Contact information
Practice address
805 N FLAG CHAPEL RD, JACKSON, MS 39209-2208
(601) 853-5000
(601) 853-5010
Mailing address
PO BOX 66, CLINTON, MS 39060-0066
(601) 853-5000
(601) 853-5010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
112580905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08784330
—
MS
Enumeration date
10/17/2016
Last updated
10/17/2016
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