OrganizationActive
Ellisville State School
NPI 1285947408 · Intellectual Disabilities Intermediate Care Facility · Ellisville, MS
Provider details
- NPI number
- 1285947408
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rene'E Brett, Director(601) 477-5595
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1101 Hwy 11 S
Ellisville, MS 39437-4443
Phone: (601) 477-5607
Fax: (601) 477-5700
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Hwy 11 S
Ellisville, MS 39437-4443
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2011-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.