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Contact Information

PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.
701 HIGHWAY 322
CLARKSDALE, MS38614-4722
 Phone: 662-627-2212
 Fax: 662-627-1727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.

NPI # 1710969787
LBN Legal business name PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I, INC.
Authorized official JAMIE COLLIER - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2005
Last updated 08/04/2011 - About 15 years ago
Identifiers
MS License # 631
MS Medicaid 00220056
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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