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An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medically Fragile Infants and Children Day Care |
261QM3000X |
| NPI # | 1780293787 |
| LBN Legal business name | STARKVILLE PEDIATRIC EXTENDED CARE LLC |
| Authorized official | MARK HAMMOND - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/26/2020 |
| Last updated | 07/26/2020 - About 6 years ago |
| Identifiers | n/a |
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STARKVILLE PEDIATRIC EXTENDED CARE LLC