institution
Preferred Care Developmental Centers Of Ms I Inc
Intellectual Disabilities Intermediate Care Facility in Canton, Mississippi
NPI 1659353688

Preferred Care Developmental Centers Of Ms I Inc is a Intellectual Disabilities Intermediate Care Facility based in Plano, MS. Preferred Care Developmental Centers Of Ms I Inc practices in Canton, MS. The NPI Number for Preferred Care Developmental Centers Of Ms I Inc is 1659353688 and holds a License No. 630 (Mississippi).

The current practice location address for Preferred Care Developmental Centers Of Ms I Inc is 1145 Tisdale Ave, Canton, MS and can be reached out via phone at 601-859-6712 and via fax at 601-859-2355.

Location: 1145 Tisdale Ave, Canton, MS, 75093-4823
institution
Provider Profile Details
NPI Number
1659353688
Provider Name
Preferred Care Developmental Centers Of Ms I Inc
Credential
Provider Entity Type
Organization
Address
1145 Tisdale Ave, Canton, MS, 75093-4823
Phone Number
601-859-6712
Fax Number
601-859-2355
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00220054 05 MS
institution
Provider Business Practice Location Address Details
Address
1145 Tisdale Ave
City
State
Zip
39046-4965
Phone Number
601-859-6712
Fax Number
601-859-2355
person
Provider Business Mailing Address Details
Address
1145 Tisdale Ave
City
State
Zip
39046-4965
Phone Number
601-859-6712
Fax Number
601-859-2355
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
630 (Mississippi)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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