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Desoto Pediatric Extended Care Llc
Pediatric Skilled Nursing Facility in Southhaven, Mississippi
NPI 1538526140

Desoto Pediatric Extended Care Llc is a Pediatric Skilled Nursing Facility based in Monroe, MS and is specialized in Nursing Care, Pediatric. Desoto Pediatric Extended Care Llc practices in Southhaven, MS. The NPI Number for Desoto Pediatric Extended Care Llc is 1538526140 and holds a License No. (Mississippi).

The current practice location address for Desoto Pediatric Extended Care Llc is 750 Stateline Road East, Southhaven, MS and can be reached out via phone at 662-468-1320.

Location: 750 Stateline Road East, Southhaven, MS, 71207-2994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538526140
Provider Name
Desoto Pediatric Extended Care Llc
Credential
Provider Entity Type
Organization
Address
750 Stateline Road East, Southhaven, MS, 71207-2994
Phone Number
662-468-1320
Fax Number
Provider Enumeration Date
01/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 Stateline Road East
City
Southhaven
State
Mississippi
Zip
38671
Phone Number
662-468-1320
Fax Number
person
Provider Business Mailing Address Details
Address
750 Stateline Road East
City
Southhaven
State
Mississippi
Zip
38671
Phone Number
662-468-1320
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
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Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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