Organization · Type 2 NPI
Pediatrust Columbus, LLC
Pediatric Skilled Nursing Facility · Columbus, MS
Practice location
2213 5th St N
Columbus, MS 39705-2211
Fax (662) 470-1035
Mailing address
6700 Jefferson Highway, Building 12, Ste B
Baton Rouge, LA 70806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None 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 1639606940
Pediatrust Columbus, LLC's National Provider Identifier is 1639606940, issued on May 17, 2017. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Columbus, MS. The record was last updated on Oct 23, 2023.