Organization · Type 2 NPI

Memorial Hospice Inc

Pediatric Skilled Nursing Facility · Clarksdale, MS

NPI number 1538249792 Active · reactivated Aug 2, 2007

Practice location

600 Ohio Street
Clarksdale, MS 38614

Fax (662) 627-7629

Mailing address

Post Office Box 1726, 600 Ohio Street
Clarksdale, MS 38614

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 1538249792

Memorial Hospice Inc's National Provider Identifier is 1538249792, issued on Oct 16, 2006. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Clarksdale, MS. The record was last updated on Aug 2, 2007.