Organization · Type 2 NPI
Preferred Care Developmental Centers of MS I Inc
Intellectual Disabilities Intermediate Care Facility · Brookhaven, MS
NPI number
1174505010
Active
Practice location
524 Brookman Dr
Brookhaven, MS 39601-2384
Fax (601) 833-0430
Mailing address
5420 W Plano Pkwy
Plano, TX 75093-4823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 629 (MS) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Brookhaven
- F Lee Neal JR MD PAIntellectual Disabilities Intermediate Care Facility Brookhaven, MS NPI 1578703583
- Brookhaven MS Opco LLCIntellectual Disabilities Intermediate Care Facility Brookhaven, MS NPI 1801538376
- Brookhaven MS Operating LLCIntellectual Disabilities Intermediate Care Facility Brookhaven, MS NPI 1942018833
About NPI 1174505010
Preferred Care Developmental Centers of MS I Inc's National Provider Identifier is 1174505010, issued on Nov 16, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brookhaven, MS. The record was last updated on Jun 28, 2011.