Provider Demographics
NPI:1700154390
Name:THE ARC OF MISSISSIPPI
Entity Type:Organization
Organization Name:THE ARC OF MISSISSIPPI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:NALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-982-1180
Mailing Address - Street 1:7 LAKELAND CIR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5022
Mailing Address - Country:US
Mailing Address - Phone:601-982-1180
Mailing Address - Fax:
Practice Address - Street 1:7 LAKELAND CIR
Practice Address - Street 2:SUITE 600
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5022
Practice Address - Country:US
Practice Address - Phone:601-982-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable