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Contact Information

PRESCRIBED PEDIATRIC EXTENDED CARE, INC
611 PEGRAM DR
TUPELO, MS38801-6321
 Phone: 813-870-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medically Fragile Infants and Children Day Care

261QM3000X
Indicates primary specialty

NPI Profile & details for PRESCRIBED PEDIATRIC EXTENDED CARE, INC

NPI # 1598123572
LBN Legal business name PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Authorized official CAMEO ZEHNDER - (CAO AND VP)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2016
Last updated 02/17/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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