Organization · Type 2 NPI
Ellisville State School
Intellectual Disabilities Intermediate Care Facility · Ellisville, MS
NPI number
1285947408
Active
Practice location
1101 Hwy 11 S
Ellisville, MS 39437-4443
Fax (601) 477-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
3 other providers at this address
Other intellectual disabilities intermediate care facility providers in Ellisville
About NPI 1285947408
Ellisville State School's National Provider Identifier is 1285947408, issued on Jul 16, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ellisville, MS. The record was last updated on Jan 27, 2011.