National Provider Identifier Database

PERSONAL CARE HOME OF WIGGINS
Assisted Living, Mental Illness

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.


Contact Information

PERSONAL CARE HOME OF WIGGINS
918 PARKWAY DR
WIGGINS, MS39577-8750
Phone: 601-928-4663
Fax: 601-928-4668
Website:
Specialty Taxonomy Code
* Assisted Living, Mental Illness 3104A0625X
Assisted Living Facility 310400000X
Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for PERSONAL CARE HOME OF WIGGINS

NPI Number 1386950145
Legal business name
LBN
PERSONAL CARE HOME OF WIGGINS
Authorized official ANGELA HARRIS - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/30/2010
Last updated 08/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 1038

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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