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Jackson County Pediatric Extended Care Llc
Pediatric Skilled Nursing Facility in Pascagoula, Mississippi
NPI 1588104814

Jackson County Pediatric Extended Care Llc is a Pediatric Skilled Nursing Facility based in Daphne, MS and is specialized in Nursing Care, Pediatric. Jackson County Pediatric Extended Care Llc practices in Pascagoula, MS. The NPI Number for Jackson County Pediatric Extended Care Llc is 1588104814 and holds a License No. (Mississippi).

The current practice location address for Jackson County Pediatric Extended Care Llc is 2025 Jackson Ave, Pascagoula, MS and can be reached out via phone at 228-205-3000.

Location: 2025 Jackson Ave, Pascagoula, MS, 36526-6135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588104814
Provider Name
Jackson County Pediatric Extended Care Llc
Credential
Provider Entity Type
Organization
Address
2025 Jackson Ave, Pascagoula, MS, 36526-6135
Phone Number
228-205-3000
Fax Number
Provider Enumeration Date
03/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 Jackson Ave
City
Pascagoula
State
Mississippi
Zip
39567-4427
Phone Number
228-205-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2025 Jackson Ave
City
Pascagoula
State
Mississippi
Zip
39567-4427
Phone Number
228-205-3000
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.
()
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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