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PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC

Intermediate Care Facility, Mentally Retarded

Canton, Mississippi

Provider NPI: 1659353688

Organization Information:
Organization Name:  PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC


Practice Location:
1145 TISDALE AVE  CANTON, MS 39046 US
Tel: 601-859-6712  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MS630

Other Provider Identifiers:

IssuerNumberStateType
00220054MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS MS - Page 1



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