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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MS632

Other Provider Identifiers:

IssuerNumberStateType
00220057MS05
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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