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Contact Information

TIFFANY P COLLINS, ADMINISTRATOR
135 E WARREN AVE
BROOKHAVEN, MS39601-4146
 Phone: 601-919-6294
 Fax: 866-982-3424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for

NPI Number 1659963924
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/08/2021
Last updated 02/08/2021 - About 5 years 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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