Ellisville State School
Ellisville State School is an Intellectual Disabilities Intermediate Care Facility in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.
- Licensed in
- MS
- In the registry since
- 2009
Practice location Address checks out
1101 Hwy 11 SEllisville, MS 39437-4443
Phone: (601) 477-5770
Fax: (601) 477-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence R865285 (MS) |
|---|
Record details
| NPI number | 1811135718 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Smith — Family Nurse Practitioner · (601) 477-5770 |
| NPI enumerated | January 30, 2009 |
| Last updated in NPPES | January 30, 2009 |
| Mailing address | 1101 Hwy 11 S, Ellisville, MS 39437-4443 |
Other providers in Ellisville
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Ellisville State School
1101 Hwy 11 S, Ellisville, MS 39437-4443 · (601) 477-5607