Ellisville State School

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NPI Provider: 1568468080
Contact Name: Lassiter Suzie
Position: Director
Phone: (601) 477-9384

Ellisville State School Information:

Ellisville State School organization have npi 1568468080, taxonomy code is 261Q00000X with license number is C00638 in . This Business address located in 1101 HWY 11 S, Ellisville, MS 39437 Mississippi. Get directions of Ellisville State School.

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Practice Location
Address: 1101 HWY 11 S, Ellisville, MS 39437
Phone: (601) 477-9384

Business Location

Address: 1101 HWY 11 S, Ellisville, MS 39437

Phone: (601) 477-9384

Fax: (601) 477-5700

Taxonomy

Taxonomy Code: 261Q00000X

License Number: C00638

License Number of State: MS

Primary Taxonomy Switch: Y

Enumeration Date: 6/21/2005

Map for Ellisville State School

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