Organization · Type 2 NPI

State of Mississippi - University of Mississippi Medical Center

Pediatric Skilled Nursing Facility · Jackson, MS

NPI number 1114727385 Active

Practice location

3850 Eastwood Drive
Jackson, MS 39211

Mailing address

PO Box 11407
Birmingham, AL 35246-3035

Specialties and licenses

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450XNone listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

About NPI 1114727385

State of Mississippi - University of Mississippi Medical Center's National Provider Identifier is 1114727385, issued on Mar 17, 2025. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Jackson, MS. The record was last updated on Mar 17, 2025.