OrganizationActive
South Mississippi Regional Center
NPI 1578885117 · Intellectual Disabilities Intermediate Care Facility · Long Beach, MS
Provider details
- NPI number
- 1578885117
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joanna Whaley, Benefit Specialist(228) 867-1348
- License
- 311 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1170 W Railroad St
Long Beach, MS 39560-4106
Phone: (228) 867-1348
Fax: (228) 214-5563
Approximate (ZIP-level) locationGet directions
Mailing address
1170 W Railroad St
Long Beach, MS 39560-4106
Registry dates
- Enumerated
- 2010-02-24
- Last updated
- 2010-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.