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PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.

Intermediate Care Facility, Mentally Retarded

Clarksdale, Mississippi

Provider NPI: 1710969787

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


Practice Location:
701 HIGHWAY 322  CLARKSDALE, MS 38614 US
Tel: 662-627-2212  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MS631

Other Provider Identifiers:

IssuerNumberStateType
00220056MS05
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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