PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Intermediate Care Facility, Mentally Retarded
Starkville, Mississippi
Provider NPI: 1346222163
Organization Information:Organization Name: PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Practice Location:
200 WOMACK ST STARKVILLE, MS 39759 US
Tel: 662-323-9183 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
200 WOMACK ST STARKVILLE, MS 39759 US
Tel: 662-323-9183 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | MS | 632 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00220057 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin