Organization · Type 2 NPI

Starkville Pediatric Extended Care LLC

Medically Fragile Infants and Children Day Care · Starkville, MS

NPI number 1780293787 Active

Practice location

9771 Ms Highway 25
Starkville, MS 39759-4944

Mailing address

8178 Soldier Ct
Daphne, AL 36526-6135

Specialties and licenses

TaxonomyCodeLicense
Medically Fragile Infants and Children Day Care Primary 261QM3000XNone listed

Medically Fragile Infants and Children Day Care: An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

About NPI 1780293787

Starkville Pediatric Extended Care LLC's National Provider Identifier is 1780293787, issued on Jul 26, 2020. The primary taxonomy on file is Medically Fragile Infants and Children Day Care (261QM3000X), and the practice location is in Starkville, MS. The record was last updated on Jul 26, 2020.