Organization
U.S. DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRYPHENA HUBBARD ELLIS LCSW (SOCIAL WORKER)
(228) 261-0422
Entity
Organization
Contact information
Practice address
400 VETERANS AVE, T100 (SOCIAL WORK), BILOXI, MS 39531-2410
(228) 523-4550
Mailing address
15235 SAINT CHARLES ST, GULFPORT, MS 39503-2822
(228) 261-0422
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340727612
VETERAN AFFAIRS HEALTH CARE SYSTEM
MS
Enumeration date
01/31/2011
Last updated
01/31/2011
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