F LEE NEAL JR MD PA NPI 1578703583

NPI Information

  • NPI: 1578703583
  • Provider Name: F LEE NEAL JR MD PA
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 717 S CHURCH ST
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 757-5702

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NPI Details

F LEE NEAL JR MD PA is an intermediate care facility mentally retarded in Brookhaven, MS. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. F LEE NEAL JR MD PA NPI is 1578703583. The provider is registered as an organization entity type.

The provider's business location address is:

717 S CHURCH ST
BROOKHAVEN, MS
ZIP 39601-811
Phone: (601) 757-5702

The provider's authorized official is Fitzhugh Lee Neal .
The authorized official title is President and has the following contact phone number (601) 757-5702.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 3/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities13550MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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