The Arc Southeast Mississippi, NPI 1194199042
Developmentally Disabled Services Day Training Agency in Hattiesburg, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1194199042
NPI Entity Type Organization
Provider Name The Arc Southeast Mississippi
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 65 Bonhomie Rd, Hattiesburg, MS, US
Provider Mailing Address Po Box 18800, Hattiesburg, MS, US, 394048800
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Christopher P Moss
Official Position TREASURER
Phone 601-580-0636

Primary Taxonomy

Taxonomy Code

251C00000X

Taxonomy Name Developmentally Disabled Services Day Training Agency
Classification

Day Training, Developmentally Disabled Services

Group

Agencies

Description These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

The Arc Southeast Mississippi
65 Bonhomie Rd

Hattiesburg, MS, US

Phone: 601-583-4251
Fax: 601-583-4251

Mailing Address

The Arc Southeast Mississippi
Po Box 18800
Hattiesburg, MS, US
ZIP 394048800
Phone: 601-580-0636
Fax: 601-583-4251

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

385HR2060X

Respite Care Facility

Respite Care

No

385HR2065X

Respite Care Facility

Respite Care

No

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NPI Name Taxonomy Address

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IDD WAIVER SERVICES Loverta Jones

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IDD WAIVER SERVICES Tamekia Mckines

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DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

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IDD WAIVER SERVICES Fraxine Graves

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IDD WAIVER SERVICES Judy Jones

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IDD WAIVER SERVICES Michael Mcdonald

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41 Bonhomie Rd

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1083339428

IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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