Individual provider · Type 1 NPI
Charles J. Gruich, MD
Physical Disabilities Residential Treatment Facility · Biloxi, MS
NPI number
1457436347
Active
Practice location
2356 Pass Rd, Suite 100
Biloxi, MS 39531-2236
Fax (228) 388-7493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 08349 (MS) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
About NPI 1457436347
Charles J. Gruich, MD's National Provider Identifier is 1457436347, issued on Oct 26, 2006. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Biloxi, MS. The record was last updated on Mar 7, 2023.